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

Olga Iziumenko, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083295646

Olga Iziumenko, MD is a Student in an Organized Health Care Education/Training Program in Springfield, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
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 Address checks out

751 N Rutledge St Ste 2300
Springfield, IL 62702-4968
Phone: (217) 545-8000
Fax: (217) 545-7438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2035 Carville Dr Apt 15d, Reno, NV 89512-3132 — (725) 502-0443

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 125079859 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083295646
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 15, 2021
Last updated in NPPESJuly 4, 2022
Certification dateJuly 4, 2022
Mailing addressPo Box 19644, Springfield, IL 62794-9644

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