Yaroslav Daniel Bodnar
MD | Pediatrics | Male
Yaroslav Daniel Bodnar, MD is a Peoria, Illinois based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Yaroslav Daniel Bodnar is
530 Ne Glen Oak Ave, Peoria, Illinois - 61637-0001. He can be contacted on phone at
309-655-3863.
Yaroslav Daniel Bodnar is a sole proprietor of his business.
NPI number (Unique professional ID) for Yaroslav Daniel Bodnar is
1801326095 which was assigned by NPPES on 19 Jun, 2017 and it was last updated on 19 May, 2022.
Yaroslav Daniel Bodnar license number is
036155975 for Pediatrics (208000000X) in Illinois.
Yaroslav Daniel Bodnar is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Yaroslav Daniel Bodnar basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Yaroslav Daniel Bodnar |
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| Credential : | MD |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Yaroslav Daniel Bodnar address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 530 Ne Glen Oak Ave
Peoria, IL, 61637-0001
United States |
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| Phone Number : | 309-655-3863 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1801326095 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Jun, 2017 |
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| Last Updated On : | 19 May, 2022 |
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Medicare Participation:
Yaroslav Daniel Bodnar participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 0143587113 |
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| Medicare Enrollment ID : | I20211025002707 |
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| Primary Specialty : | Internal Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2017 |
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| Accepts Medicare? | Yes. Yaroslav Daniel Bodnar accepts medicare insurance. |
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Group Practice Association:
Yaroslav Daniel Bodnar is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Yaroslav Daniel Bodnar is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Loyola University Medical Center | 3779488903 | 868 | 2160 S 1st Ave
Maywood, IL - 601533328
Ph: 7082169000 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Yaroslav Daniel Bodnar are as mentioned. Primary taxonomy code for Yaroslav Daniel Bodnar, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | 125.070456 | IL |
| 208000000X | Pediatrics | No | 125.070456 | IL |
| 208000000X | Pediatrics | Yes | 036155975 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Yaroslav Daniel Bodnar such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 125.070456 | Other | IL | TEMPORARY MEDICAL LICENSE |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | ybodnar147037@direct.luhs.org
| | DIRECT
Direct
|
| 2160 S 1ST AVE,
MAYWOOD, IL, 60153-3328
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 530 Ne Glen Oak Ave Fl 5
Peoria, IL, 61637-0001
United States |
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| Phone Number : | 630-253-9614 |
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Business Location:
Patients can refer following map for directions to
Yaroslav Daniel Bodnar practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.