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:
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Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982779047 NPPES
Illinois Other 1627173 BCBS
Illinois MEDICAID 036092221 BCBS

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