Nenita Irabagon is a Specialist in Chicago, Illinois. Nenita Irabagon practices all healthcare services and medical treatments related to Specialist. The NPI Number for Nenita Irabagon is 1104885466. The last update date is 2011-01-21.
Nenita Irabagon's current location address is 6250 S Archer Ave, Chicago, Illinois. You can contact this provider via phone number 7735818400 and fax number 7735819577. The mailing address for Nenita Irabagon is 6250 S Archer Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nenita Irabagon |
|---|---|
| Address | 6250 S Archer Ave, Chicago, Illinois |
| Phone Number | 7735818400 |
| Fax Number | 7735819577 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104885466 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2011-01-21 |
Provider Mailing Address Detail
| Address | 6250 S Archer Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606382639 |
| Phone Number | 7735818400 |
| Fax Number | 7735819577 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36091558 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 110129812 | IL | RAIL ROAD MEDICARE | |
| 1607717 | IL | BC/BS OF ILLINOIS | |
| 36091558 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Nenita Irabagon by the Centers for Medicare & Medicaid Services?
The Nenita Irabagon has been assigned the NPI (National Provider Identifier) 1104885466. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Nenita Irabagon is physically located?
The Nenita Irabagon is situated at the following address: 6250 S Archer Ave, Chicago, IL 606382639.
What is Nenita Irabagon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Nenita Irabagon's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104885466 to Nenita Irabagon?
The Nenita Irabagon received its 1104885466 assignment from the Centers for Medicare & Medicaid Services on 2006-03-23.
As of what date were the details pertaining to Nenita Irabagon last refreshed?
The information related to the Nenita Irabagon, including its address, specialty, and other relevant details, was last updated on 2011-01-21.
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