Ilina A. Andreeva, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036-098689 Issued in IL

Practice address

1634 W Polk St
Chicago, IL 60612-4352

Phone

(312) 423-4200

NPI assigned

Oct 16, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advocate North Side Health Network

  • Institutional Pharmacy
  • Chicago, IL
  • NPI 1114645470
  NPD (past)
• Advocate North Side Health Network

  • Clinic/Center
  • Chicago, IL
  • NPI 1780788323
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1295815058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 W POLK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124352",
            "telephone_number": "312-423-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 W POLK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124352",
            "telephone_number": "312-423-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREEVA",
        "first_name": "ILINA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-098689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea N. Sidle DDS PC
• Stanley Andreakis, RPH
• Michael A Andreano, D.C.
• Hannah Andreasen, MSED, BCBA
• Alyssa Andreasik, PT, DPT
• Amy J Andregg
• Agnieszka Andrejewicz, LSW
• Mia Andreoli
• Sarafina Andreoli, DPT
• Andres O. Botuyan MD., SC

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.