Individual
MARIA IVANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 947-0100
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 947-0100
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
209.035004
IL
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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