Andrew Ivanchenko MD PC
Specialist · Buffalo Grove, IL
Practice location
985 S. Buffalo Grove RoadBuffalo Grove, IL 60089
- Phone
- (847) 681-1161
NPI record
- NPI
- 1487857421
- Entity type
- Organization (Type 2)
- Enumeration date
- June 7, 2007
- Last updated
- April 29, 2024
- Certified
- April 29, 2024
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X |
036111777 | IL |
Mailing address
235 Moraine RdHighland Park, IL 60035-1933
- Phone
- (847) 681-1161
- Fax
- (847) 681-1171
Authorized official
- Name
- Ms. Olesya Malloy
- Title
- Administrator
- Phone
- (847) 630-8340
Other names
- Andrew Ivanchenko MD PC
About Andrew Ivanchenko MD PC
Andrew Ivanchenko MD PC is a healthcare organization registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 985 S. Buffalo Grove Road, Buffalo Grove, IL 60089. The NPI number 1487857421 was assigned on June 7, 2007 and the record was last updated on April 29, 2024.
Andrew Ivanchenko MD PC lists a license in the registry: #036111777 (IL) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Ms. Olesya Malloy, Administrator.
Frequently asked questions
What is the NPI number of Andrew Ivanchenko MD PC?
The NPI number is 1487857421.
What is the phone number of Andrew Ivanchenko MD PC?
The phone number listed for the practice location is (847) 681-1161.
Where is Andrew Ivanchenko MD PC located?
985 S. Buffalo Grove Road, Buffalo Grove, IL 60089.
What is the taxonomy code for Andrew Ivanchenko MD PC?
The primary taxonomy code is 174400000X – Specialist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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