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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376672212 NPPES
Illinois MEDICAID 036118999
Illinois Other 0163557

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