Provider Demographics
NPI:1033180351
Name:LINCHEVSKAYA, ALEXANDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRA
Middle Name:
Last Name:LINCHEVSKAYA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6420 N CALIFORNIA AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-5253
Mailing Address - Country:US
Mailing Address - Phone:773-973-6100
Mailing Address - Fax:773-262-4882
Practice Address - Street 1:6420 N CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-5253
Practice Address - Country:US
Practice Address - Phone:773-973-6100
Practice Address - Fax:773-262-4882
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-27
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL918360Medicare ID - Type Unspecified
ILH46608Medicare UPIN