Individual provider Active NPI

Ileana Ungureanu, MD, PHD

  • Marriage & Family Therapist
  • Moline, IL
National Provider Identifier
1235658386
Registry record updated Sep 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
166001092 Issued in IL
Practice address
2424 40TH Ave Apt 5
Moline, IL 61265-7215
Phone
(309) 269-3100
NPI assigned
Sep 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 166001092 IL Primary

Addresses

Primary practice location

2424 40TH Ave Apt 5
Moline, IL 61265-7215

Mailing address

4925 N Wolcott Ave Apt 2a
Chicago, IL 60640-3338
Phone (315) 751-7062

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
166001092ILMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ephphatha Consulting Services, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505001600000",
    "number": "1235658386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 N WOLCOTT AVE APT 2A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403338",
            "telephone_number": "315-751-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 40TH AVE APT 5",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657215",
            "telephone_number": "309-269-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGUREANU",
        "first_name": "ILEANA",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-10",
        "last_updated": "2017-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166001092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2017; 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.