Healthcare Provider Details

I. General information

NPI: 1760186332
Provider Name (Legal Business Name): VIKTORIYA BIKEYEVA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 04/05/2026
Certification Date: 04/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1875 W DEMPSTER ST STE 525
PARK RIDGE IL
60068-1130
US

IV. Provider business mailing address

1875 W DEMPSTER ST STE 525
PARK RIDGE IL
60068-1130
US

V. Phone/Fax

Practice location:
  • Phone: 847-698-5500
  • Fax: 847-698-5517
Mailing address:
  • Phone: 847-698-5500
  • Fax: 847-698-5517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number036.176221
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: