Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ANDREW PETER KRIVOSHIK, M.D., PH.D.
Active Sole ProprietorClinical Pharmacology · LAKE BLUFF, IL
Registration Details
- NPI Number
- 1316345077
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 11, 2014 (11.390879622592 yrs)
- Last Updated
- Mar 10, 2025
- Licenses
-
1015840 (MA)200200389 (NC)42674 (MN)036111634 (IL)4301113666 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
421 E CENTER AVELAKE BLUFF, IL, 600442507Browse IL providers · Browse ZIP 60044
- Phone
- 8477359737
- Primary Specialty
-
Clinical Pharmacology
208U00000X
- Additional Specialty
- Pediatrics
- Additional Specialty
- Pediatrics
- Additional Specialty
- Pediatrics
- Additional Specialty
- Pediatrics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.