Alexandra Carolina Idrovo

MD | Pediatric Nephrology | Female

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Complete Profile:

Alexandra Carolina Idrovo basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Nephrology
Provider Name :	Alexandra Carolina Idrovo
Credential :	MD
Gender :	Female
Sole Proprietor :	Yes

Business Address:

Alexandra Carolina Idrovo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1900 W Polk St Rm 1134 Chicago, IL, 60612-3723 United States
Phone Number :	832-693-4848

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1740620095
NPI Entity Type :	Individual
First Enrolment Date :	01 Jul, 2013
Last Updated On :	28 Sep, 2022

Medicare Participation:

Alexandra Carolina Idrovo participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	1658677398
Medicare Enrollment ID :	I20160815000226
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2010
Accepts Medicare?	Yes. Alexandra Carolina Idrovo accepts medicare insurance.

Group Practice Association:

Alexandra Carolina Idrovo is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Alexandra Carolina Idrovo is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
University Of Texas Southwestern Medical Center	0648188250	2495	7609 Preston Rd Plano, TX - 750243214 Ph: 2144562444	Yes
University Of Texas Southwestern Medical Center	0648188250	2495	1935 Medical District Dr Dallas, TX - 752357701 Ph: 8444244537	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alexandra Carolina Idrovo are as mentioned. Primary taxonomy code for Alexandra Carolina Idrovo, MD is 2080P0210X (Pediatrics, Pediatric Nephrology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	125064135	IL
2080P0210X	Pediatrics, Pediatric Nephrology	Yes	Q9169	TX

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	5323 Harry Hines Blvd Dallas, TX, 75390-7201 United States
Phone Number :	214-476-8559

Business Location:

Patients can refer following map for directions to Alexandra Carolina Idrovo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.