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Dr. Nenita Irabagon, MD
Specialist in Chicago, Illinois
NPI 1104885466

Nenita Irabagon is a Specialist based in Chicago, IL. Nenita Irabagon practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Nenita Irabagon is 1104885466 and holds a License No. 36091558 (Illinois).

The current practice location address for Nenita Irabagon is 6250 S Archer Ave, Chicago, IL and can be reached out via phone at 773-581-8400 and via fax at 773-581-9577. You can also correspond with Nenita Irabagon through the mailing address at 6250 S ARCHER AVE, CHICAGO, IL - 60638-2639 (mailing address contact number: 773-581-8400).

Location: 6250 S Archer Ave, Chicago, IL, 60638-2639
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104885466
Provider Name
Nenita Irabagon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
6250 S Archer Ave, Chicago, IL, 60638-2639
Phone Number
773-581-8400
Fax Number
773-581-9577
Provider Enumeration Date
03/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110129812 01 IL RAIL ROAD MEDICARE
1607717 01 IL BC/BS OF ILLINOIS
036091558 05 IL
institution
Provider Business Practice Location Address Details
Address
6250 S Archer Ave
City
Chicago
State
Illinois
Zip
60638-2639
Phone Number
773-581-8400
Fax Number
773-581-9577
person
Provider Business Mailing Address Details
Address
6250 S Archer Ave
City
Chicago
State
Illinois
Zip
60638-2639
Phone Number
773-581-8400
Fax Number
773-581-9577
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
36091558 (Illinois)
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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