Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXANDRE DEREVIANKO
ActiveALEXANDRE DEREVIANKO is a Clinical Chemistry Technician healthcare provider located in GREAT LAKES, Illinois. NPI 1679987879 is currently active in the NPPES registry. Verify at CMS.
Clinical Chemistry Technician · GREAT LAKES, IL
Registration Details
- NPI Number
- 1679987879
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2014 (12.190981296511 yrs)
- Last Updated
- Jun 19, 2014
- License
-
238000408 (IL)
Practice Information
- Address
-
1811 ARKANSAS AVEGREAT LAKES, IL, 600884244Browse IL providers · Browse ZIP 60088
- Phone
- 4014809807
- Fax
- 8477335827
- Primary Specialty
-
Clinical Chemistry Technician
246ZC0007X
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.