Garibashvily, Alexander

Garibashvily, Alexander is an sole proprietor health care provider with primary practice located at 200 Milwaukee Ave Suite 100, Buffalo Grove IL 60089-2812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Garibashvily, Alexander can be contacted via phone (847) 850-5377.

Contact Information

Primary practice address
200 Milwaukee Ave Suite 100 Buffalo Grove IL 60089-2812
Phone: (847) 850-5377
Fax: (847) 850-5378
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036112246 Illinois

Profile Details

NPI number 1902814452
LBN Legal business name Garibashvily, Alexander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 3rd, 2006
Last updated Sep 5th, 2014 - about 10 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 1902814452 NPPES
Illinois MEDICAID 036112246

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