Irina Tutunikov, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036.132626 Issued in IL

Practice address

2700 Patriot Blvd
Suuite 250
Glenview, IL 60026-8021

Phone

(847) 232-9932

Fax

(847) 262-4077

NPI assigned

Jun 19, 2010

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 20, 2016 through Feb 20, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1073834453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 PATRIOT BLVD",
            "address_2": "SUITE 250",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268021",
            "telephone_number": "847-232-9932",
            "fax_number": "847-262-4077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 PATRIOT BLVD",
            "address_2": "SUUITE 250",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268021",
            "telephone_number": "847-232-9932",
            "fax_number": "847-262-4077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTUNIKOV",
        "first_name": "IRINA",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-19",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.132626",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS015787",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollie Tucker
• Maura Terese Tulig
• Shannon L Tully, D.P.T.
• Alise Tupuritis
• Ruth V Turney, COTA/L
• Martha L. Twaddle, MD, FACP, FAAHPM
• Erica Jane Twarling, PA
• Tiffany Tyler
• Carol Tyner, OTR/L
• Catherine Tyrrell, PT

• Internal Medicine Physician in Glenview, IL
• Providers in Glenview, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.