| Doctor Name: | IRINA MESHEM |
| NPI Number: | 1316958010 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | 209-006063 |
| Business Practice Address: | 2500 Lake Cook Rd Riverwoods, IL - 600153851 |
| Business Phone Number: | 2244052800 |
| Business Fax Number: | 2244054928 |
| Mailing Address: | 25233 Network Place, CHICAGO |
| State: | IL |
| Postal Code: | 606731252 |
| Phone Number: | 6303901240 |
| Fax Number: | 6303901247 |
| NPI Enumeration Date: | 08/10/2006 |
| NPI Last Update Date: | 02/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 209-006063 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |