Organization
ELENA FITCHEV MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA FITCHEV MD (OWNER)
(847) 328-3213
Entity
Organization
Contact information
Practice address
800 AUSTIN ST STE 502W, EVANSTON, IL 60202-3445
(847) 328-3213
Mailing address
800 AUSTIN ST STE 502W, EVANSTON, IL 60202-3445
(847) 328-3213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036092221
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092221
—
IL
Enumeration date
04/13/2007
Last updated
02/27/2018
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