MEDICARE: SEVERYN YAROSHEVSKY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	036110134	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205835287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEVERYN YAROSHEVSKY MD

Provider Business Mailing Address
First Line	:	611 S. WELLS STREET #2701
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-4782
Country	:	US
Telephone Number	:	312-493-1219
Fax Number	:

Provider Business Practice Location Address
First Line	:	8012 S CRANDON
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60617-1124
Country	:	US
Telephone Number	:	773-731-9000
Fax Number	:	773-731-9622

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	05/17/2010

Similar Medicare Providers

1053391359 — SOUTH SHORE HOSPITAL CORPORATION
Practice Location Address:

8012 S CRANDON AVE , FINANCE DEPARTMENT
CHICAGO, IL
60617-1124

Practice Phone: 773-356-5312
Practice Fax: 773-768-8154

1982655437 — CHARLES W PARRISH III MD
Practice Location Address:

8012 S CRANDON AVE
CHICAGO, IL
60617-1124

Practice Phone: 773-768-6066
Practice Fax:

1659319754 — EMERGENCY DEPARTMENT ASSOCIATES, P.C.
Practice Location Address:

8012 S CRANDON AVE
CHICAGO, IL
60617-1124

Practice Phone: 773-356-5362
Practice Fax: 773-768-8154

1376582783 — CRANDON EMERGENCY PHYSICIANS LLC
Practice Location Address:

8012 S CRANDON AVE
CHICAGO, IL
60617-1124

Practice Phone: 773-356-5362
Practice Fax: 773-768-8154

1972543239 — JASON TSAI CHEN MD
Practice Location Address:

8012 S CRANDON AVE STE 100
CHICAGO, IL
60617-1124

Practice Phone: 773-356-5415
Practice Fax: 773-768-6141

1710912365 — DR. THOMAS T BAHK MD
Practice Location Address:

8012 S CRANDON AVE
CHICAGO, IL
60617-1124

Practice Phone: 773-356-5331
Practice Fax: 773-768-8154

Directions to “ SEVERYN YAROSHEVSKY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.