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General NPI Number Information
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NPI Number | 1013890011
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Entity Type | Individual
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Provider Name | IRYNA MYSAK RN
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Gender | Female
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 1620 W HARRISON ST FL 14
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City | CHICAGO
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State | IL
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Zip | 60612-3801
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Country | US
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Telephone | 312-947-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 E RANDVILLE DR UNIT 109
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City | PALATINE
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State | IL
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Zip | 60074-2914
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Country | US
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Telephone | 336-542-8675
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WX0200X
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Taxonomy Name | Oncology Registered Nurse
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License Number | 041.447283
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License Number State | IL
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