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Individual

IRIA E IRLANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
901 BIESTERFIELD RD STE 213, ELK GROVE VILLAGE, IL 60007-7300
(847) 690-9767
Mailing address
901 BIESTERFIELD RD STE 213, ELK GROVE VILLAGE, IL 60007-7300
(847) 690-9767

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036094884
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0360948842
IL
01
110207905
RAILROAD MEDICARE
IL
01
14611
ADVOCATE CHRIST ID
IL
01
21622441
BCBS PROVIDER ID
IL
01
36296015803
ADVOCATE HEALTH CTR ID
IL
Enumeration date
09/20/2005
Last updated
12/27/2021
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