Individual
DR. ELENA GREBENCIUCOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
675 N SAINT CLAIR ST STE 20-100, CHICAGO, IL 60611-5970
(312) 908-4886
Mailing address
675 N SAINT CLAIR ST STE 20-100, CHICAGO, IL 60611-5970
(312) 908-4886
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
126050901
IL
2084N0400X
Neurology Physician
Primary
036172579
IL
2084N0400X
Neurology Physician
125060901
IL
2084N0400X
Neurology Physician
MD457658
PA
Other
Enumeration date
07/30/2012
Last updated
07/21/2022
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