Provider Demographics
NPI:1114675725
Name:KRIVENKO, ORIANA (MD)
Entity Type:Individual
Prefix:
First Name:ORIANA
Middle Name:
Last Name:KRIVENKO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ORIANA
Other - Middle Name:
Other - Last Name:FERMIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:50 E BELLEVUE PL APT 706
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-6106
Mailing Address - Country:US
Mailing Address - Phone:305-439-9112
Mailing Address - Fax:
Practice Address - Street 1:251 E HURON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2908
Practice Address - Country:US
Practice Address - Phone:305-439-9112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-13
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
IL125081607207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program