Active NPI
Rosalba Chirinos, SA
- Surgical Assistant
- Mokena, IL
National Provider Identifier
1710670419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 238.00785
- Practice address
- 19015 S Jodi Rd Ste H
Mokena, IL 60448-8534 - Phone
- (866) 787-4452
- NPI assigned
- May 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 238.00785 | IL | Primary |
Addresses
Primary practice location
19015 S Jodi Rd Ste H
Mokena, IL 60448-8534
Mailing address
16483 Taconite Dr
Noblesville, IN 46060-1331
Phone (317) 998-4693
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 238.000785 | Other | IL | ILLINOIS STATE LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238.00785 | IL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685404800000",
"number": "1710670419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16483 TACONITE DR",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460601331",
"telephone_number": "317-998-4693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19015 S JODI RD STE H",
"city": "MOKENA",
"state": "IL",
"postal_code": "604488534",
"telephone_number": "866-787-4452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIRINOS",
"first_name": "ROSALBA",
"credential": "SA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-30",
"last_updated": "2023-05-30",
"certification_date": "2023-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IL",
"license": "238.00785",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS STATE LICENSE",
"identifier": "238.000785",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mokena, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.