Iryna Petriv, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209028416 Issued in IL

Practice address

207 E Butterfield Rd
Elmhurst, IL 60126-7200

Phone

(630) 359-8054

NPI assigned

Nov 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midwest Express Care 2, Inc

  • Urgent Care Clinic/Center
  • Willowbrook, IL
  • NPI 1548692890
  Medicare reassignment NPD
• Midwest Express Care 2, Inc

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1659952554
  NPD

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1154195071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E BUTTERFIELD RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601267200",
            "telephone_number": "630-359-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E BUTTERFIELD RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601267200",
            "telephone_number": "630-359-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRIV",
        "first_name": "IRYNA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209028416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter J Chiaculas DPM PC
• Peter W.T. Hui, M.D.,S.C.
• Autumn Peterson
• Craig Neil Peterson, RPH
• Tamara L Petre
• Shannon C. Pettit, MD
• David Scott Pezen, M.D.
• Pharmacy Alternatives LLC
• Crystal Kalarithara Philip, FNP-BC
• Christina Maria Philippou, MS CCC-SLP

• Family Nurse Practitioner in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.