Provider Demographics
NPI:1811722002
Name:MARGINEAN, IRINA (NP)
Entity type:Individual
Prefix:
First Name:IRINA
Middle Name:
Last Name:MARGINEAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1945 TANGLEWOOD DR UNIT C
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-1601
Mailing Address - Country:US
Mailing Address - Phone:773-699-0393
Mailing Address - Fax:
Practice Address - Street 1:1945 TANGLEWOOD DR UNIT C
Practice Address - Street 2:
Practice Address - City:GLENVIEW
Practice Address - State:IL
Practice Address - Zip Code:60025-1601
Practice Address - Country:US
Practice Address - Phone:773-699-0393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209031241363LF0000X
IL390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program