Dr Yevgeniy Isyanov, PHD is a
Psychologist based in Skokie, Illinois. Dr Yevgeniy Isyanov is licensed to practice in * (Not Available) (license number ) and his current practice location is
8707 Skokie Blvd Ste 207, Skokie, Illinois. He can be reached at his office (for appointments etc.) via phone at
(847) 673-8577.
NPI number for Dr Yevgeniy Isyanov is 1710962139 and his current mailing address is 803 S Poplar Ave, Elmhurst, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710962139.
Healthcare Provider's Profile
| Full Name | Dr Yevgeniy Isyanov |
|---|
| Gender | Male |
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| Speciality | Psychologist |
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| Location | 8707 Skokie Blvd Ste 207, Skokie, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710962139
- Provider Enumeration Date: 12/08/2005
- Last Update Date: 01/18/2013
Medical Identifiers
Medical identifiers for Dr Yevgeniy Isyanov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710962139 | NPI | - | NPPES |
| 180-004766 | Other | IL | IL LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 180-004766 (Illinois) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 101YP2500X | Counselor - Professional | 180-004766 (Illinois) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Yevgeniy Isyanov is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Yevgeniy Isyanov, PHD
803 S Poplar Ave,
Elmhurst, IL 60126-4544
Ph: (847) 673-8577 | Dr Yevgeniy Isyanov, PHD
8707 Skokie Blvd Ste 207,
Skokie, IL 60077-2269
Ph: (847) 673-8577 |
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