Healthcare Provider Details

I. General information

NPI: 1336107465
Provider Name (Legal Business Name): MUGE A TURKYILMAZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 12/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 N OAK ST ATTN: RADIOLOGY DEPARTMENT
HINSDALE IL
60521-3829
US

IV. Provider business mailing address

520 E 22ND ST
LOMBARD IL
60148-6110
US

V. Phone/Fax

Practice location:
  • Phone: 630-856-7850
  • Fax:
Mailing address:
  • Phone: 630-874-2542
  • Fax: 630-960-0227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License Number0101238069
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number0101238069
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: