Active NPI
Angelica Irigoyen
- Counselor
- Melrose Park, IL
National Provider Identifier
1760901748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 4419 W North Ave
Melrose Park, IL 60160-1021 - Phone
- (773) 777-7112
- Fax
- (708) 547-7732
- NPI assigned
- Sep 11, 2017
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
4419 W North Ave
Melrose Park, IL 60160-1021
Mailing address
1825 N 40TH Ave
Stone Park, IL 60165-1017
Phone (773) 569-8413
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth Outreach Services | Past | Accepting new patients | |
| Youth Outreach Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Melrose Park, IL
- NPI 1568916476
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Melrose Park, IL
- NPI 1811227341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505088000000",
"number": "1760901748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1825 N 40TH AVE",
"city": "STONE PARK",
"state": "IL",
"postal_code": "601651017",
"telephone_number": "773-569-8413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4419 W NORTH AVE",
"city": "MELROSE PARK",
"state": "IL",
"postal_code": "601601021",
"telephone_number": "773-777-7112",
"fax_number": "708-547-7732"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRIGOYEN",
"first_name": "ANGELICA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-11",
"last_updated": "2017-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melrose Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.