Gimena, Irina M

Gimena, Irina M is an sole proprietor health care provider with primary practice located at 212 S Marion St Ste 9 , Oak Park IL 60302-3159. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gimena, Irina M can be contacted via phone (847) 334-3015.

Contact Information

Primary practice address
212 S Marion St Ste 9 Oak Park IL 60302-3159
Phone: (847) 334-3015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 29631 Illinois
Other Service Providers / Case Manager/Care Coordinator 171M00000X 4242224 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149016241 Illinois

Profile Details

NPI number 1124789284
LBN Legal business name Gimena, Irina M
Credentials LCSW, CADC, CCM
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 31st, 2021
Last updated Dec 31st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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