Healthcare Provider Details

I. General information

NPI: 1457260028
Provider Name (Legal Business Name): CHRISTINA STANKOVA CHRISTOVA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: YATAGAN INC.

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5502 TINDER APT 4
ROLLING MEADOWS IL
60008-4176
US

IV. Provider business mailing address

5502 TINDER APT 4
ROLLING MEADOWS IL
60008-4176
US

V. Phone/Fax

Practice location:
  • Phone: 847-809-6943
  • Fax:
Mailing address:
  • Phone: 847-809-6943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: