Kisilevich, Yuri

Kisilevich, Yuri is an sole proprietor health care provider with primary practice located at 654 N Bank Ln , Lake Forest IL 60045-1811. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Kisilevich, Yuri can be contacted via phone (847) 234-6541.

Contact Information

Primary practice address
654 N Bank Ln Lake Forest IL 60045-1811
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1639346158
LBN Legal business name Kisilevich, Yuri
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2008
Last updated May 14th, 2008 - about 16 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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