Individual provider · Type 1 NPI

Anastasia Lvovna Khoubaeva, MD

Emergency Medicine Physician · Ottawa, IL

NPI number 1053643106 Active

Practice location

1100 E Norris Dr
Ottawa, IL 61350-1604

Fax (815) 433-0879

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070

Other practice locations

  • 680 N Lake Shore Dr, Chicago, IL 60611-4546 · (312) 695-6868
  • 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201-1718 · (847) 570-2114

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000X4030 (WI)
Emergency Medicine Physician 207P00000X036129686 (IL)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1053643106

Anastasia Lvovna Khoubaeva, MD's National Provider Identifier is 1053643106, issued on Jan 31, 2010. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Ottawa, IL. The record was last updated on Sep 14, 2026.