Individual
DR. ELENA FITCHEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 AUSTIN ST STE 502W, EVANSTON, IL 60202-3445
(847) 328-3213
(847) 328-2871
Mailing address
800 AUSTIN ST STE 502W, EVANSTON, IL 60202-3445
(847) 328-3213
(847) 328-2871
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
01
—
1627173
BCBS
IL
Enumeration date
11/22/2006
Last updated
02/27/2018
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