DR. ALINA GANDRABUR MD
NPI 1205568409
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since June 27, 2022PECOS Enrolled
1969 W OGDEN AVE, CHICAGO, IL 60612(312) 864-6000 Get Directions Write a Review

NPPES record last updated: June 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Alina Gandrabur Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALINA GANDRABUR MD (NPI 1205568409) is an individual student in an organized health care education/training program in Chicago, Illinois, licensed in Illinois (125.080724) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205568409
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ALINA GANDRABURCredential: MD
Location Address1969 W OGDEN AVEChicago, IL 60612-3765
Mailing Address1922 W Ogden Ave Unit 1608Chicago, IL 60612-5586 · (347) 233-8002
Sole ProprietorNo
Enumeration DateJune 27, 2022
NPPES CertifiedJune 27, 2022
NPI 1205568409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
License Licensed in IL · 125.080724
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedUrologyTaxonomy 208800000X · License 125.080724 (IL)
1969 W OGDEN AVE, Chicago, IL 60612

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Alina Gandrabur Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1969 W OGDEN AVE, ROOM 1698
CHICAGO, IL 60612
Social Worker
1969 W OGDEN AVE
CHICAGO, IL 60612
General Acute Care Hospital
1969 W OGDEN AVE
CHICAGO, IL 60612
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Ophthalmology
1969 W OGDEN AVE, CLINIC A
CHICAGO, IL 60612
Social Worker
1969 W OGDEN AVE
CHICAGO, IL 60612
Social Worker
1969 W OGDEN AVE
CHICAGO, IL 60612
Physician Assistant
1969 W OGDEN AVE, EMERGENCY MEDICINE
CHICAGO, IL 60612

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205568409, enumerated as an "individual" on June 27, 2022.

The provider is located at 1969 W OGDEN AVE CHICAGO, IL 60612 and the phone number is (312) 864-6000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.