Irma F Realiza, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

03654724 Issued in IL

Practice address

7250 N Cicero Ave
Suite 101
Lincolnwood, IL 60712-1643

Phone

(847) 673-2877

Fax

(847) 673-2989

NPI assigned

Apr 21, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1174840706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7250 N CICERO AVE",
            "address_2": "SUITE 101",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121643",
            "telephone_number": "847-673-2877",
            "fax_number": "847-673-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7250 N CICERO AVE",
            "address_2": "SUITE 101",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121643",
            "telephone_number": "847-673-2877",
            "fax_number": "847-673-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REALIZA",
        "first_name": "IRMA",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-21",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "03654724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syed Abdur Rahim, MD
• Frank O Ramirez
• Mary G. Raptis-Garcia, PHARM.D.
• Donna Jean Ratte, PHD,MSW,LCSW
• Brittany E Ray
• Laila Reese
• Abigail Lee Reich
• Lawrence S. Reiner, DDS
• Renewal Rehab LLC
• Resurrection Services

• General Practice Physician in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.