Provider Demographics
NPI:1730408915
Name:YARMOLYUK, YAROSLAV R (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:YAROSLAV
Middle Name:R
Last Name:YARMOLYUK
Suffix:
Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:5449 TALL OAKS DR
Mailing Address - Street 2:
Mailing Address - City:LONG GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60047
Mailing Address - Country:US
Mailing Address - Phone:847-691-9401
Mailing Address - Fax:
Practice Address - Street 1:1020 S ARLINGTON HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-3169
Practice Address - Country:US
Practice Address - Phone:847-749-4340
Practice Address - Fax:847-739-7570
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL021.0024881223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics