Fitchev, Elena
Fitchev, Elena is an sole proprietor health care provider with primary practice located at 800 Austin St Ste 502W , Evanston IL 60202-3445. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fitchev, Elena can be contacted via phone (847) 328-3213.Contact Information
Primary practice address
800 Austin St Ste 502W
Evanston IL 60202-3445
Phone: (847) 328-3213
Fax: (847) 328-2871
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036092221 | Illinois |
Profile Details
NPI number | 1982779047 |
---|---|
LBN Legal business name | Fitchev, Elena |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 22nd, 2006 |
Last updated | Feb 27th, 2018 - about 7 years ago |
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 | 1982779047 | NPPES |
Illinois | Other | 1627173 | BCBS |
Illinois | MEDICAID | 036092221 | BCBS |
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