Provider Demographics
NPI:1194324053
Name:SALABAI, IRINA
Entity type:Individual
Prefix:
First Name:IRINA
Middle Name:
Last Name:SALABAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:758 BUFFALO CIR
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-9106
Mailing Address - Country:US
Mailing Address - Phone:630-309-4140
Mailing Address - Fax:
Practice Address - Street 1:265 STONEGATE RD STE 102
Practice Address - Street 2:
Practice Address - City:ALGONQUIN
Practice Address - State:IL
Practice Address - Zip Code:60102-5614
Practice Address - Country:US
Practice Address - Phone:224-232-7482
Practice Address - Fax:779-220-2389
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-21
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2090221282084P0800X
IL277002021363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry