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NPI Code Detail

MEDICARE: OFELIA MARTHA IONESCU LTD

MEDICARE: OFELIA MARTHA IONESCU LTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11632551OTHERILBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376746081
Entity Type Code : Organization
Provider Name (Legal Business Name) : OFELIA MARTHA IONESCU LTD
Provider Business Mailing Address
First Line : 900 N KINGSBURY ST APT 1101
Second Line :
City : CHICAGO
State : IL
Zip : 60610-7450
Country : US
Telephone Number : 773-354-3473
Fax Number : 773-293-7947
Provider Business Practice Location Address
First Line : 4700 N MARINE DR STE 6200
Second Line :
City : CHICAGO
State : IL
Zip : 60640-7972
Country : US
Telephone Number : 773-354-3473
Fax Number : 773-293-7947
Authorized Official
Title or Position : OWNER
Name : OFELIA MARTHA IONESCU
Credential :
Telephone Number : 773-354-3473
Provider Enumeration Date : 06/08/2007
Last Update Date : 10/07/2025

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Directions to “OFELIA MARTHA IONESCU LTD ” Practice Location

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