Healthcare Provider Details

I. General information

NPI: 1932398708
Provider Name (Legal Business Name): YR MEDICAL GROUP S C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2007
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 N WOLF RD
WHEELING IL
60090-3027
US

IV. Provider business mailing address

3230 HIGHLAND RD
NORTHBROOK IL
60062-6905
US

V. Phone/Fax

Practice location:
  • Phone: 847-419-1900
  • Fax: 847-419-1964
Mailing address:
  • Phone: 847-419-1900
  • Fax: 847-419-1964

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036089785
License Number StateIL

VIII. Authorized Official

Name: DR. YAKOV RYABOV
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 847-419-1900