Provider Demographics
NPI:1689871212
Name:ONAGAN, MARIA IRENE VICTORIA HERRERA (MD)
Entity Type:Individual
Prefix:
First Name:MARIA IRENE VICTORIA
Middle Name:HERRERA
Last Name:ONAGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 E LINCOLN HWY
Mailing Address - Street 2:STE 251
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451-1976
Mailing Address - Country:US
Mailing Address - Phone:815-741-8888
Mailing Address - Fax:815-730-3323
Practice Address - Street 1:410 E LINCOLN HWY STE 251
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-1976
Practice Address - Country:US
Practice Address - Phone:815-485-2541
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.126265208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics