Provider Demographics
NPI:1528046893
Name:BECKERMAN, YULIYA (DDS)
Entity type:Individual
Prefix:MRS
First Name:YULIYA
Middle Name:
Last Name:BECKERMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2561 ESSEX DR
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-7027
Mailing Address - Country:US
Mailing Address - Phone:847-498-2032
Mailing Address - Fax:
Practice Address - Street 1:309 E DUNDEE RD
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:IL
Practice Address - Zip Code:60090-3107
Practice Address - Country:US
Practice Address - Phone:847-229-1700
Practice Address - Fax:847-229-1737
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice