Alexander Zubenko in Lisle - Addiction (substance Use Disorder)
Alexander Zubenko - NPI 1275503484
Alexander Zubenko is a Addiction (substance Use Disorder) in Lisle, Illinois. Alexander Zubenko practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Alexander Zubenko is 1275503484. The last update date is 2007-07-08.
Alexander Zubenko's current location address is 4699 Auvergne Ave, Lisle, Illinois. You can contact this provider via phone number 6309605860 and fax number 6309605864. The mailing address for Alexander Zubenko is 4699 Auvergne Ave, Lisle, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alexander Zubenko |
|---|---|
| Address | 4699 Auvergne Ave, Lisle, Illinois |
| Phone Number | 6309605860 |
| Fax Number | 6309605864 |
| Sole Proprietor | X |
| Credentials | LCPC |
NPI Number Detail
| NPI Number | 1275503484 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4699 Auvergne Ave |
|---|---|
| City | Lisle |
| State | Illinois (IL) |
| Post Code | 605321911 |
| Phone Number | 6309605860 |
| Fax Number | 6309605864 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2207933 | IL | BLUE CROSS/BLUE SHIELD |
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What is the unique 10-digit identifier code issued to Alexander Zubenko by the Centers for Medicare & Medicaid Services?
The Alexander Zubenko has been assigned the NPI (National Provider Identifier) 1275503484 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Alexander Zubenko?
The Alexander Zubenko is physically situated at 4699 Auvergne Ave, in the city of Lisle, state of IL, with the postal code 605321911.
What is the Alexander Zubenko's area of specialization and corresponding taxonomy classification?
The Alexander Zubenko's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.
On what date did the Alexander Zubenko receive its 1275503484 assignment from the Centers for Medicare & Medicaid Services?
The Alexander Zubenko was assigned its 1275503484 by the Centers for Medicare & Medicaid Services on 2006-01-23.
When was the information pertaining to Alexander Zubenko most recently updated or revised?
The details related to Alexander Zubenko, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.