Irene Medina, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149015712 Issued in IL

Practice address

17W727 Butterfield Rd
Suite E
Oakbrook Terrace, IL 60181-4278

Phone

(773) 802-3618

NPI assigned

Dec 23, 2009

Sex

Female

Sole proprietor

Yes

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

State licenses

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.

• Pride Medical Equipment LLC

  • Durable Medical Equipment & Medical Supplies
  • Oakbrook Terrace, IL
  • NPI 1851980916
  NPD
• Center for Integrative and Functional Health and Wellness LLC

  • Multi-Specialty Clinic/Center
  • Bloomingdale, IL
  • NPI 1649748674
  NPD (past)
• Superior Home Health LLC

  • Home Health Agency
  • Rosemont, IL
  • NPI 1932214285
  NPD (past)

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1609105568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W727 BUTTERFIELD RD",
            "address_2": "SUITE E",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814278",
            "telephone_number": "773-802-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17W727 BUTTERFIELD RD",
            "address_2": "SUITE E",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814278",
            "telephone_number": "773-802-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149015712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Mathers, N.D.
• Nima Matin, PHARMD
• Sintoria Matthews, CPT
• Joshua McFarren
• Jennifer McGrath, LAC
• Niki Mehta, OD
• Wincy Faith Mejias, PA
• Merrill Ken Galera MD SC
• Zakaria Messieha, DDSANESTHESIOLOGIST
• Tania Messmer, P.A.-C

• Clinical Social Worker in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.