Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Oleksandr Pivnenko, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780478123

Oleksandr Pivnenko, MD is a Student in an Organized Health Care Education/Training Program in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Mercyhealth Javon Bea Hospital 8201 East Riverside Blvd
Rockford, IL 61114
Phone: (815) 971-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 125.085331 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IL)

Record details

NPI number1780478123
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2025
Last updated in NPPESJuly 2, 2025
Certification dateJuly 2, 2025
Mailing addressMercyhealth Alpine Clinic, 7702 N Alpine Rd, Loves Park, IL 61111

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