| Doctor Name: | MS. IRENE BRESINGHAM |
| NPI Number: | 1053517748 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | 209000423 |
| Business Practice Address: | 11200 W Lincoln Hwy Mokena, IL - 604488208 |
| Business Phone Number: | 8154642171 |
| Business Fax Number: | |
| Mailing Address: | 920 2nd Ave S, Suite 400 MINNEAPOLIS |
| State: | MN |
| Postal Code: | 554023318 |
| Phone Number: | 6126597101 |
| Fax Number: | 4844502617 |
| NPI Enumeration Date: | 06/21/2007 |
| NPI Last Update Date: | 01/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 209000423 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |