Provider Demographics
NPI:1659764322
Name:BELIANSKI, ALEXANDRE (RVT)
Entity Type:Individual
Prefix:
First Name:ALEXANDRE
Middle Name:
Last Name:BELIANSKI
Suffix:
Gender:M
Credentials:RVT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 ALLEN CT
Mailing Address - Street 2:APT A
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-6102
Mailing Address - Country:US
Mailing Address - Phone:773-946-0879
Mailing Address - Fax:
Practice Address - Street 1:428 ALLEN CT
Practice Address - Street 2:APT A
Practice Address - City:WHEELING
Practice Address - State:IL
Practice Address - Zip Code:60090-6102
Practice Address - Country:US
Practice Address - Phone:773-946-0879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-05
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1229052471V0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471V0105XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistVascular Sonography