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Contact Information

ANDREW IVANCHENKO MD PC
985 S. BUFFALO GROVE ROAD
BUFFALO GROVE, IL60089
 Phone: 847-681-1161
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ANDREW IVANCHENKO MD PC · (Female)

NPI # 1487857421
Status Active
Credentials
Entity Individual
Enumeration date 06/07/2007
Last updated 04/29/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 036111777
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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