Provider Demographics
NPI:1922406396
Name:OFRIKHTER, IRINA (MS SLP-CCC)
Entity Type:Individual
Prefix:MRS
First Name:IRINA
Middle Name:
Last Name:OFRIKHTER
Suffix:
Gender:F
Credentials:MS SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2634 BROOKSIDE LN
Mailing Address - Street 2:APT 1919
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-6332
Mailing Address - Country:US
Mailing Address - Phone:224-217-1816
Mailing Address - Fax:
Practice Address - Street 1:2634 BROOKSIDE LN
Practice Address - Street 2:APT 1919
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-6332
Practice Address - Country:US
Practice Address - Phone:224-217-1816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-16
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146.011952235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist