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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

NPI # 1487857421
LBN Legal business name ANDREW IVANCHENKO MD PC
Authorized official OLESYA MALLOY - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/07/2007
Last updated 04/29/2024 - About 2 years ago
Identifiers
IL License # 036111777
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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