Irabagon, Nenita
Irabagon, Nenita is an individual health care provider with primary practice located at 6250 S Archer Ave , Chicago IL 60638-2639. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Irabagon, Nenita can be contacted via phone (773) 581-8400.Contact Information
Primary practice address
6250 S Archer Ave
Chicago IL 60638-2639
Phone: (773) 581-8400
Fax: (773) 581-9577
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 36091558 | Illinois |
Profile Details
NPI number | 1104885466 |
---|---|
LBN Legal business name | Irabagon, Nenita |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 23rd, 2006 |
Last updated | Jan 21st, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1104885466 | NPPES |
Illinois | Other | 110129812 | RAIL ROAD MEDICARE |
Illinois | Other | 1607717 | RAIL ROAD MEDICARE |
Illinois | MEDICAID | 036091558 | RAIL ROAD MEDICARE |
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