Yaroslav Daniel Bodnar · 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 · Pediatrics Physician (2025)

Overview

Yaroslav Daniel Bodnar is a Pediatrics Physician practicing in Peoria, Illinois. The National Provider Identifier (NPI) is #1801326095, which was assigned on June 19, 2017, and the registration record was last updated on May 19, 2022. The practitioner's main practice location is at 530 Ne Glen Oak Ave, Peoria, IL 61637-0001; the contact telephone number is 3096553863. The primary taxonomy of Yaroslav Daniel Bodnar is Pediatrics Physician (208000000X). Yaroslav Daniel Bodnar is licensed to practice in the state of Illinois (#125.070456), Illinois (#036155975).

A pediatrician 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.

Provider Information

NPI 1801326095
Entity Type Individual
Provider Name YAROSLAV DANIEL BODNAR
Gender Male
Credential MD
Practice Address 530 Ne Glen Oak Ave
Peoria
IL 61637-0001
Practice Telephone 3096553863
Mailing Address 530 Ne Glen Oak Ave Fl 5
Peoria
IL 61637-0001
Mailing Telephone 6302539614
Certification Date 2022-05-19
Enumeration Date 2017-06-19
Last Update Date 2022-05-19
Is Sole Proprietor Y

Doctor and Clinician Information

PAC ID 0143587113Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name YAROSLAV BODNAR
Primary Specialty INTERNAL MEDICINE
Organization Legal Name LOYOLA UNIVERSITY MEDICAL CENTER
Address 2160 S 1st Ave
Maywood
IL 60153-3328

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N207R00000XInternal Medicine125.070456IL
Y208000000XPediatrics036155975IL

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
125.070456ILTEMPORARY MEDICAL LICENSEOther

Taxonomy Information

Primary Taxonomy

Code 208000000X
Taxonomy Pediatrics Physician
Classification Pediatrics
Grouping Allopathic & Osteopathic Physicians
Definition: A pediatrician 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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Other Taxonomy

Code 207R00000X
Taxonomy Internal Medicine Physician
Classification Internal Medicine
Grouping Allopathic & Osteopathic Physicians
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Jose Eduardo Frias Mantilla 1001 Bd Decarie, Montreal, Quebec H3T1V5Pediatrics Physician2024-08-05
Pediatric Care Centers, LLC 8990 Rg Skinner Parkway, Jacksonville, FL 32256Pediatrics Physician2024-08-09
Michelle Parkinson Pediatrics LLC 1925 W Orange Grove Rd Ste 302, Tucson, AZ 85704-1152Pediatrics Physician2024-07-31
Veritymd Inc 6601 Coyle Ave, Carmichael, CA 95608-6311Pediatrics Physician2024-08-01
Advocare, LLC 1230 Parkway Ave Ste 303, Ewing, NJ 08628-3018Pediatrics Physician2024-08-06
Karen Segal PLLC 653 N Town Center Dr Ste 217, Las Vegas, NV 89144-0516Pediatrics Physician2024-07-30
Jordan's Place Pediatrics, Pa 984 N Texas St, Emory, TX 75440-2413Pediatrics Physician2024-07-30
Holly Kristen Sanders 103 Dawson St, Homer, LA 71040-3124Pediatrics Physician2024-07-31
Anagha Suresh Md Corporation 2438 N Ponderosa Dr Ste C209, Camarillo, CA 93010-2374Pediatrics Physician2024-08-06
Summit Medical Group PLLC 95 Seaboard Ln Ste 2021, Brentwood, TN 37027-3031Pediatrics Physician2024-08-06
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Location Information

Street Address 530 NE GLEN OAK AVE
City PEORIA
State IL
Zip Code 61637-0001
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Matthew Kevin Woodbury 530 Ne Glen Oak Ave, Peoria, IL 61637-0001General Practice Physician2024-06-25
Kimberly Sue Rinehart · Kimberly Sue Lorentzen 530 Ne Glen Oak Ave, Peoria, IL 61637-0001Registered Nurse2024-08-06
Morgan Keyser 530 Ne Glen Oak Ave, Peoria, IL 61637-0001Student in an Organized Health Care Education/Training Program2024-05-29
Jill Louise Wagenbach 530 Ne Glen Oak Ave, Peoria, IL 61637-0001Critical Care Medicine Registered Nurse2024-07-03
Maddison Elizabeth Campbell 530 Ne Glen Oak Ave, Peoria, IL 61637-0001Occupational Therapist2024-06-05
Case Mcnally 530 Ne Glen Oak Ave, Peoria, IL 61637-0001Dentist2024-06-29
Kyle Payne Coombes 530 Ne Glen Oak Ave, Peoria, IL 61637-0001Student in an Organized Health Care Education/Training Program2024-04-30
Alex Michael Boord 530 Ne Glen Oak Ave, Peoria, IL 61637-0001Certified Registered Nurse Anesthetist2024-05-10
Ishwarya Sundararajan 530 Ne Glen Oak Ave, Peoria, IL 61637-0001Pediatrics Physician2024-07-08
Yusuf Kagzi 530 Ne Glen Oak Ave, Peoria, IL 61637Student in an Organized Health Care Education/Training Program2024-05-10
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Samantha Martin Address: 530 Ne Glen Oak Ave, Peoria, IL 61637-0001Gerontology Nurse Practitioner2021-06-23
Nirali Shah Osf St Francis Medical Center 530 Ne Glen Oak Ave, Peoria, IL 61637-0001Student in an Organized Health Care Education/Training Program2020-05-04
Harleena K Kendhari Saint Frances Medical Center, 530 N E Glen Oak Avenue, Peoria, IL 61637-0001Pediatrics Physician2007-09-27
Ammar Ahmed Osf St Francis Medical Ctr, 530 Ne Glen Oak Ave, Sfnb 2624, Peoria, IL 61637-0001Emergency Medicine Physician2015-04-27
Diane Marie Cass · Diane Marie Kelch 515 Ne Glen Oak, Peoria, IL 61637-0001Clinical Social Worker2008-09-17
Ryan Christopher Voelker 624 Ne Glen Oak Ave North Building Suite 2624, Peoria, IL 61637-0001Student in an Organized Health Care Education/Training Program2024-03-25
Salimah Dhanji 530 Glen Oak Dr, Peoria, IL 61637-0001Student in an Organized Health Care Education/Training Program2012-03-21
Muhammad Saad Khan Osf Saint Francis Medical Center 530 Ne Glen Oak Ave, Peoria, IL 61637-0001Student in an Organized Health Care Education/Training Program2023-03-27
Jason Thomas Taylor 538 Ne Glen Oak Ave, Peoria, IL 61637-0001Internal Medicine Physician2016-06-26
Sandhya Chaudhari 530 Ne Glran Oak Ave, Peoria, IL 61637-0001Pediatrics Physician2009-06-30
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Mateo Betancourt Escobar 530 N. E. Glen Oak Ave., Osf St. Francis Medical Center, Internal Medicine Resi, Peoria, IL 61637Student in an Organized Health Care Education/Training Program2023-05-30
Jeremy R Monroe 530 Glen Oak, Osf St Francis Medical Center, Peoria, IL 61637Emergency Medicine Physician2009-08-04
Darshine Venugopal 530 N.E. Glen Oak Ave, Peoria, IL 61637Student in an Organized Health Care Education/Training Program2022-04-25
Alex Paul Jessmore 530 N.E. Glen Oak Avenue, North Building #4675, Peoria, IL 61637Student in an Organized Health Care Education/Training Program2020-03-23
Manisha Tharoor 530 N.E Glen Oak Ave, Peoria, IL 61637Student in an Organized Health Care Education/Training Program2019-06-26
Sushma Shivananda · Sushma Nagaraj 530 Ne Glen Oak, Peoria, IL 61637Hospice and Palliative Medicine (Internal Medicine) Physician2023-07-18
Fatima Aurangzeb Abbasi Osf St Francis Medical Centre, Internal Medical Residen, 530 Ne Glen Oak Ave, North Building, 5676, Peoria, IL 61637Student in an Organized Health Care Education/Training Program2024-05-13
Jenna Bishop 600 Ne Water Street, Peoria, IL 61637Registered Dietitian2016-03-17
Justin Duane Frederick Kearney 530 N.E. Glen Oak Ave, Peoria, IL 61637Internal Medicine Physician2022-06-03
Preethi Likhitha Chintagunta · Preethi Rajagopal Reddy 530 Ne Glen Ave, Internal Medicine Residency Osf St. Fr, Attn: Marti Sokolowski, Peoria, IL 61637Student in an Organized Health Care Education/Training Program2024-05-13
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Kerry Bodnar Evans · Kerry Elizabeth Bodnar 2424 Double Churches Rd, Columbus, GA 31909-2741Audiologist2013-05-30
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Tetyana Bodnar · Tanya Bodnar 1756 Sagamore Rd, Northfield, OH 44067-1086Psychiatry Physician2015-04-29
Yaroslav Yanishin 229 7th St Ste 105, Garden City, NY 11530-5766Physician Assistant2017-11-16
Daniel Mark Bodnar 8836 State Route 434, Apalachin, NY 13732-4102Pharmacist2006-10-02
Yaroslav Y Pogorelov 501 Washington St, San Diego, CA 92103-2231Family Medicine Physician2006-08-31
Lesly Yaneth Bodnar · Leslie Yaneth Urias-Bodnar 1157 Main Ave, Clifton, NJ 07011-2243Clinical Psychologist2007-08-16
Yaroslav Buryk 1611 Nw 12th Ave, Miami, FL 33136Student in an Organized Health Care Education/Training Program2012-03-24
Daniel Joseph Bodnar Jr. 1010 Ligonier St Ste 1, Latrobe, PA 15650-1847Student in an Organized Health Care Education/Training Program2018-04-13
Yaroslav A. Gofnung, M.D., Inc. 12660 Riverside Dr, Suite 225, North Hollywood, CA 91607-3429Endocrinology, Diabetes & Metabolism Physician2006-08-25

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.

Yaroslav Daniel Bodnar · 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 · Pediatrics Physician (2025)
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