Individual provider · Type 1 NPI

Oleksandr Pivnenko, MD

Family Medicine Physician · Rockford, IL

NPI number 1780478123 Active

Practice location

Mercyhealth Javon Bea Hospital, 8201 East Riverside Boulevard
Rockford, IL 61114

Mailing address

Mercyhealth Alpine Clinic, 7702 N Alpine Rd
Loves Park, IL 61111

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Medicine Physician Primary 207Q00000X125.085331 (IL)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1780478123

Oleksandr Pivnenko, MD's National Provider Identifier is 1780478123, issued on Apr 9, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Rockford, IL. The record was last updated on Jul 2, 2025.