Provider Demographics
NPI:1902322159
Name:ALEKSANDROV, DINKO (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DINKO
Middle Name:
Last Name:ALEKSANDROV
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 N MICHIGAN AVE STE 602
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-3920
Mailing Address - Country:US
Mailing Address - Phone:414-797-3285
Mailing Address - Fax:312-312-9688
Practice Address - Street 1:333 N MICHIGAN AVE STE 602
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-3920
Practice Address - Country:US
Practice Address - Phone:414-797-3285
Practice Address - Fax:312-312-9688
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-18
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3491-57103T00000X, 103TC0700X, 103TC2200X
IL071.009639103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent