Matthew Alexis Ivanovich in Elgin - Pulmonary Disease
Matthew Alexis Ivanovich - NPI 1174516314
Matthew Alexis Ivanovich is a Pulmonary Disease in Elgin, Illinois. Matthew Alexis Ivanovich practices all healthcare services and medical treatments related to Pulmonary Disease. The NPI Number for Matthew Alexis Ivanovich is 1174516314. The last update date is 2022-08-22.
Matthew Alexis Ivanovich's current location address is 1710 N Randall Rd Ste 260, Elgin, Illinois. You can contact this provider via phone number 8479317900 and fax number 8479311562. The mailing address for Matthew Alexis Ivanovich is 1710 N Randall Rd Ste 260, Elgin, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Alexis Ivanovich |
|---|---|
| Address | 1710 N Randall Rd Ste 260, Elgin, Illinois |
| Phone Number | 8479317900 |
| Fax Number | 8479311562 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174516314 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2022-08-22 |
Provider Mailing Address Detail
| Address | 1710 N Randall Rd Ste 260 |
|---|---|
| City | Elgin |
| State | Illinois (IL) |
| Post Code | 601239402 |
| Phone Number | 8479317900 |
| Fax Number | 8479311562 |
Provider's Primary Taxonomy Detail
| Speciality | Pulmonary Disease |
|---|---|
| Taxonomy | 207Rp1001X |
| Licence No | 36072285 |
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Definition: An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36072285 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Matthew Alexis Ivanovich by the Centers for Medicare & Medicaid Services?
The Matthew Alexis Ivanovich has been assigned the NPI (National Provider Identifier) 1174516314 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Matthew Alexis Ivanovich is located?
The Matthew Alexis Ivanovich is situated at the following address: 1710 N Randall Rd Ste 260, Elgin, IL, 601239402.
What is the Matthew Alexis Ivanovich's specialty and taxonomy code?
The Matthew Alexis Ivanovich's specialty is Pulmonary Disease, and the corresponding taxonomy code is 207Rp1001X.
On what date was the 1174516314 assigned to Matthew Alexis Ivanovich?
The Matthew Alexis Ivanovich was issued its 1174516314 on 2005-08-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Matthew Alexis Ivanovich most recently updated or revised?
The details related to Matthew Alexis Ivanovich, including its address, specialty, and other relevant information, were last updated or revised on 2022-08-22.