Aleksandrovich, Ellen
Aleksandrovich, Ellen is an sole proprietor health care provider with primary practice located at 1775 Ballard Rd , Park Ridge IL 60068-1005. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Aleksandrovich, Ellen can be contacted via phone (847) 318-2500.Contact Information
Primary practice address
1775 Ballard Rd
Park Ridge IL 60068-1005
Phone: (847) 318-2500
Fax: (847) 318-2558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | PENDING | Illinois |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036-118999 | Illinois |
Profile Details
| NPI number | 1376672212 |
|---|---|
| LBN Legal business name | Aleksandrovich, Ellen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 5th, 2007 |
| Last updated | Feb 2nd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376672212 | NPPES |
| Illinois | MEDICAID | 036118999 | |
| Illinois | Other | 0163557 |
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