Provider Demographics
NPI:1891900932
Name:ENCINAS, ALVARO RODRIGO (MD)
Entity Type:Individual
Prefix:DR
First Name:ALVARO
Middle Name:RODRIGO
Last Name:ENCINAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3926 W TOUHY AVE STE 332
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-1028
Mailing Address - Country:US
Mailing Address - Phone:773-796-4292
Mailing Address - Fax:
Practice Address - Street 1:3926 W TOUHY AVE STE 332
Practice Address - Street 2:
Practice Address - City:LINCOLNWOOD
Practice Address - State:IL
Practice Address - Zip Code:60712-1028
Practice Address - Country:US
Practice Address - Phone:773-796-4292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036125218207Q00000X
TN47692207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine