Provider Demographics
NPI:1649958976
Name:IAVORSCHI, ELEONORA (APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:ELEONORA
Middle Name:
Last Name:IAVORSCHI
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9315 SAYRE AVE
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-1229
Mailing Address - Country:US
Mailing Address - Phone:847-226-3909
Mailing Address - Fax:
Practice Address - Street 1:6545 W ARCHER AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60638-2555
Practice Address - Country:US
Practice Address - Phone:630-974-6131
Practice Address - Fax:630-974-6313
Is Sole Proprietor?:No
Enumeration Date:2023-07-07
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.027633363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily