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NPI 1932398708

NPI 1932398708 : YR MEDICAL GROUP S C : WHEELING, IL

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General NPI Number Information
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    NPI Number           |    1932398708
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    Entity Type          |    Organization 
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    Legal Business Name  |    YR MEDICAL GROUP S C 
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Dates
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    Enumeration Date     |    10/17/2007
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    Last Update Date     |    11/11/2025
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Provider Practice Location Address
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    Address Line         |    505 N WOLF RD 
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    City                 |    WHEELING
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    State                |    IL
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    Zip                  |    60090-3027
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    Country              |    US
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    Telephone            |    847-419-1900
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    Fax                  |    847-419-1964
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Provider Business Mailing Address
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    Address Line         |    3230 HIGHLAND RD 
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    City                 |    NORTHBROOK
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    State                |    IL
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    Zip                  |    60062-6905
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    Country              |    US
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    Telephone            |    847-419-1900
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    Fax                  |    847-419-1964
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Authorized Official
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    Title or Position    |    PHYSICIAN
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    Name                 |    DR. YAKOV  RYABOV 
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    Credential           |    M.D.
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    Telephone            |    847-419-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    036089785
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    License Number State |    IL
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