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Contact Information

ANDREW P KRIVOSHIK, M.D., PH.D.
421 E CENTER AVE
LAKE BLUFF, IL60044-2507
 Phone: 847-735-9737
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Pharmacology

208U00000X
 

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ANDREW P KRIVOSHIK · (Male)

NPI Number 1316345077
Status Active
Credentials M.D., PH.D.
Entity Individual
Enumeration date 12/11/2014
Last updated 03/10/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036111634
  • MA License # 1015840
  • MI License # 4301113666
  • MN License # 42674
  • NC License # 200200389
  • WI License # 69592-20
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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