Organization
ANDREW IVANCHENKO MD PC
Active
Other names
Andrew Ivanchenko MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OLESYA MALLOY (ADMINISTRATOR)
(847) 630-8340
Entity
Organization
Contact information
Practice address
985 S. BUFFALO GROVE ROAD, BUFFALO GROVE, IL 60089
(847) 681-1161
Mailing address
235 MORAINE RD, HIGHLAND PARK, IL 60035-1933
(847) 681-1161
(847) 681-1171
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036111777
IL
Other
Enumeration date
06/07/2007
Last updated
04/29/2024
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