Grebenciucova, Elena
Grebenciucova, Elena is an sole proprietor health care provider with primary practice located at 675 N Saint Clair St Ste 20-100 , Chicago IL 60611-5970. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Grebenciucova, Elena can be contacted via phone (312) 908-4886.Contact Information
Primary practice address
675 N Saint Clair St Ste 20-100
Chicago IL 60611-5970
Phone: (312) 908-4886
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 126050901 | Illinois |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 125060901 | Illinois |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD457658 | Pennsylvania |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036172579 | Illinois |
Profile Details
NPI number | 1467708305 |
---|---|
LBN Legal business name | Grebenciucova, Elena |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 30th, 2012 |
Last updated | Jul 21st, 2022 - about 3 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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