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General NPI Number Information
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NPI Number | 1376746081
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Entity Type | Organization
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Legal Business Name | OFELIA MARTHA IONESCU LTD
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 4700 N MARINE DR STE 6200
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City | CHICAGO
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State | IL
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Zip | 60640-7972
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Country | US
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Telephone | 773-354-3473
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Fax | 773-293-7947
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Provider Business Mailing Address
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Address Line | 900 N KINGSBURY ST APT 1101
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City | CHICAGO
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State | IL
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Zip | 60610-7450
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Country | US
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Telephone | 773-354-3473
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Fax | 773-293-7947
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Authorized Official
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Title or Position | OWNER
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Name | OFELIA MARTHA IONESCU
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Credential |
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Telephone | 773-354-3473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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