Organization · Type 2 NPI
Andrew Ivanchenko MD PC
Specialist · Buffalo Grove, IL
NPI number
1487857421
Active
Practice location
985 S. Buffalo Grove Road
Buffalo Grove, IL 60089
Mailing address
235 Moraine Rd
Highland Park, IL 60035-1933
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 036111777 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Another provider at this address
Other specialist providers in Buffalo Grove
About NPI 1487857421
Andrew Ivanchenko MD PC's National Provider Identifier is 1487857421, issued on Jun 7, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Buffalo Grove, IL. The record was last updated on Apr 29, 2024.