Provider Demographics
NPI:1437489564
Name:POLYAKOVA, ELINA (MD)
Entity Type:Individual
Prefix:DR
First Name:ELINA
Middle Name:
Last Name:POLYAKOVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ELINA
Other - Middle Name:SERGEYEVNA
Other - Last Name:POLYAKOVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:1900 W POLK ST FL 5
Mailing Address - Street 2:ROOM #523
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3723
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1900 W POLK ST
Practice Address - Street 2:DEPARTMENT OF MEDICINE JOHN STROGER HOSPITAL
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3723
Practice Address - Country:US
Practice Address - Phone:312-864-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-12
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-125800208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist