Healthcare Provider Details

I. General information

NPI: 1386845790
Provider Name (Legal Business Name): YSLS LIMITED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4860 WEST OAKTON STREET YSLS LIMITED
SKOKIE IL
60077
US

IV. Provider business mailing address

4860 WEST OAKTON STREET YSLS LIMITED
SKOKIE IL
60077
US

V. Phone/Fax

Practice location:
  • Phone: 847-329-0470
  • Fax: 847-329-0472
Mailing address:
  • Phone: 847-329-0470
  • Fax: 847-329-0472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: YURY SHAPIRO
Title or Position: PRESIDENT OF THE COMPANY
Credential: MD
Phone: 847-329-0470