Irby, Laura M

Irby, Laura M is an individual health care provider with primary practice located at 801 S Milwaukee Ave , Libertyville IL 60048-3204. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Irby, Laura M can be contacted via phone (847) 990-5522.

Contact Information

Primary practice address
801 S Milwaukee Ave Libertyville IL 60048-3204
Phone: (847) 990-5522
Fax: (847) 573-4281
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.003270 Illinois

Profile Details

NPI number 1962668590
LBN Legal business name Irby, Laura M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2008
Last updated Dec 28th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962668590 NPPES
Wisconsin MEDICAID 1962668590

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