Andrew Ivanchenko MD PC
NPI 1487857421ActiveOrganization· Specialist· Buffalo Grove, IL
Specialist in Buffalo Grove, Illinois, registered in NPPES in June 2007. The authorized official on file is Olesya Malloy, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1487857421 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 7, 2007 |
| Last updated in NPPES | Apr 29, 2024 |
| Certified by provider | Apr 29, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 036111777 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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