Basic Information
Provider Information
NPI: 1336107465
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TURKYILMAZ
FirstName: MUGE
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 520 E 22ND ST
Address2:  
City: LOMBARD
State: IL
PostalCode: 601486110
CountryCode: US
TelephoneNumber: 6308742542
FaxNumber: 6309600227
Practice Location
Address1: 120 N OAK ST
Address2: ATTN: RADIOLOGY DEPARTMENT
City: HINSDALE
State: IL
PostalCode: 605213829
CountryCode: US
TelephoneNumber: 6308567850
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/01/2006
LastUpdateDate: 12/07/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZC0500X0101238069VAY Allopathic & Osteopathic PhysiciansPathologyCytopathology
207ZP0102X0101238069VAN Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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