NPI 1083315030

Alexandra Polovneff, MD

Practitioner Plastic Surgery Physician Chicago, IL

Practice location

Address: 5841 S. Maryland Ave. Plastic Surgery Department, Chicago, IL 60637-1443
Phone: (888) 824-0200
Mailing address: 180 Harvester Dr STE 110, Burr Ridge, IL 60527-6686

Registered specialties

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence 125084055 (IL)

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Registry record

NPI: 1083315030
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Mar 2023
Record last updated: 2 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.