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ANDREW IVANCHENKO MD PC
NPI 1487857421
Specialist in Buffalo Grove, IL

Active since June 07, 2007
985 S. BUFFALO GROVE ROAD, BUFFALO GROVE, IL 60089(847) 681-1161 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew Ivanchenko Md Pc NPPES

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

ANDREW IVANCHENKO MD PC (NPI 1487857421) is a healthcare organization registered as a specialist in Buffalo Grove, Illinois and active in the NPI registry since June 2007. The organization lists Olesya Malloy, Administrator, as its authorized official.

NPPES Registry Identity

NPI1487857421
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameANDREW IVANCHENKO MD PC
Location Address985 S. BUFFALO GROVE ROADBuffalo Grove, IL 60089
Mailing Address235 Moraine RdHighland Park, IL 60035-1933 · (847) 681-1161 · Fax (847) 681-1171
Phone(847) 681-1161
Organization SubpartNo
Authorized OfficialOlesya MalloyAdministrator · (847) 630-8340
Enumeration DateJune 7, 2007
Last NPPES UpdateApril 29, 2024
NPPES CertifiedApril 29, 2024
✔ NPI 1487857421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 036111777
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
985 S. BUFFALO GROVE ROAD, Buffalo Grove, IL 60089
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Other Names 1

Former Legal Business NameAndrew Ivanchenko Md Pc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MR. ANDREW IVANCHENKO M.D.
Family Medicine
985 S. BUFFALO GROVE ROAD
BUFFALO GROVE, IL 60089
Lake County (847) 681-1161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Ivanchenko MD PC's NPI number?

The NPI number for Andrew Ivanchenko MD PC is 1487857421. It was assigned to this organization in the NPPES registry on June 7, 2007.

Where is Andrew Ivanchenko MD PC located?

Andrew Ivanchenko MD PC is located at 985 S. Buffalo Grove Road, Buffalo Grove, IL 60089. The listed phone number is (847) 681-1161.

What is Andrew Ivanchenko MD PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Andrew Ivanchenko MD PC was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.