Dr. Yelena Boumendjel, DPM
Podiatrist, Foot & Ankle Surgery in Schaumburg, IL. Individual provider (NPI-1).
NPI number1255684635
StatusActive
Last updated in NPPESMay 8, 2022
Details
- NPI
- 1255684635
- Entity type
- Individual (NPI-1)
- Name
- Dr. Yelena Boumendjel
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 22, 2012
- Certification date
- May 8, 2022
- Last updated
- May 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 016005491 | IL | Yes |
| 213EP1101X | Podiatrist, Primary Podiatric Medicine | 016005491 | IL |
Practice location
1025 W Wise Rd Ste 100Schaumburg, IL 60193-3746
Phone 224-653-9287 · Fax 630-635-2260
Mailing address
1025 W Wise Rd Ste 100Schaumburg, IL 60193-3746
Phone 224-653-9287 · Fax 630-635-2260
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