Iryna Kuznyetsova

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

F04220457 Issued in IL

Practice address

430 Ferne Dr
Wheeling, IL 60090-6214

Phone

(773) 691-6217

NPI assigned

May 26, 2022

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

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1629716857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 FERNE DR",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600906214",
            "telephone_number": "773-691-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 FERNE DR",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600906214",
            "telephone_number": "773-691-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZNYETSOVA",
        "first_name": "IRYNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IL",
            "license": "F04220457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen Krol, PHARMD
• Mary M Kronenburger, APN, FNP
• Dylan Masters Kropp
• Angela Kruse, OT
• Mira A Kuder, MD PHD
• Evelina Labuda
• Lada Smyk, DDS, P.C.
• Guilherme Lagares Souza Santos, DDS
• Angelo Lambos, M.D.
• Lava Supply, Inc

• Primary Care Nurse Practitioner in Wheeling, IL
• Providers in Wheeling, IL by specialty
• Primary Care Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.