Individual
IRINA ISMAILOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, AG-ACNP
Contact information
Practice address
1000 CENTRAL ST STE 730, EVANSTON, IL 60201-1779
(847) 663-8410
Mailing address
1000 CENTRAL ST STE 730, EVANSTON, IL 60201-1779
(847) 663-8410
(847) 676-1727
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041375102
IL
363L00000X
Nurse Practitioner
Primary
209016811
IL
363LA2100X
Acute Care Nurse Practitioner
209016811
IL
Other
Enumeration date
03/20/2018
Last updated
04/20/2020
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