Demidovich, Yulia M

Demidovich, Yulia M is an individual health care provider with primary practice located at 1740 W Taylor St 3200W; Mc 515, Chicago IL 60612-7232. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Demidovich, Yulia M can be contacted via phone (312) 996-4020.

Contact Information

Primary practice address
1740 W Taylor St 3200W; Mc 515 Chicago IL 60612-7232
Phone: (312) 996-4020
Fax: (312) 996-4019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 46973 Wisconsin
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036109413 Illinois
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 036109413 Illinois
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 46973-020 Wisconsin

Profile Details

NPI number 1306897475
LBN Legal business name Demidovich, Yulia M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 13th, 2006
Last updated Dec 22nd, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306897475 NPPES
Other 009906261O HUMANA
MEDICAID 1306897475 HUMANA
MEDICAID 34537900 HUMANA

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