Provider Demographics
NPI:1376746081
Name:OFELIA MARTHA IONESCU LTD
Entity Type:Organization
Organization Name:OFELIA MARTHA IONESCU LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:OFELIA
Authorized Official - Middle Name:MARTHA
Authorized Official - Last Name:IONESCU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-354-3473
Mailing Address - Street 1:2026 W GREENLEAF AVE # 2W
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-3510
Mailing Address - Country:US
Mailing Address - Phone:773-354-3473
Mailing Address - Fax:773-293-7947
Practice Address - Street 1:2026 W GREENLEAF AVE # 2W
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-3510
Practice Address - Country:US
Practice Address - Phone:773-354-3473
Practice Address - Fax:773-293-7947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1632551OtherBCBS
ILH32010Medicare UPIN
IL1632551OtherBCBS
IL200542Medicare ID - Type Unspecified