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NPI Code Detail

MEDICARE: TEODORA LILYANCHEVA NINKOVSKA FNP-BC

MEDICARE: TEODORA LILYANCHEVA NINKOVSKA FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner209.023795IL
2363LF0000XFamily Nurse Practitioner209023795IL

General Provider Information

NPI Number : 1699441931
Entity Type Code : Individual
Provider Name (Legal Business Name) : TEODORA LILYANCHEVA NINKOVSKA FNP-BC
Provider Business Mailing Address
First Line : 53 CANTAL CT
Second Line :
City : WHEELING
State : IL
Zip : 60090-6778
Country : US
Telephone Number : 224-342-8162
Fax Number :
Provider Business Practice Location Address
First Line : 5645 W ADDISON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60634-2881
Country : US
Telephone Number : 773-282-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2021
Last Update Date : 12/23/2025

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Directions to “ TEODORA LILYANCHEVA NINKOVSKA FNP-BC” Practice Location

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