MEDICARE: OFELIA MARTHA IONESCU MD

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
1	2084P0800X	Psychiatry Physician	036102819	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1632551	OTHER	IL	BCBS

General Provider Information

NPI Number	:	1689716953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OFELIA MARTHA IONESCU MD

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	:

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	:	773-551-2493
Fax Number	:	773-293-7942

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	10/07/2025

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