Provider Demographics
NPI:1427298298
Name:CHIRPICH, MERCY (RN)
Entity type:Individual
Prefix:MRS
First Name:MERCY
Middle Name:
Last Name:CHIRPICH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:MERCY
Other - Middle Name:G
Other - Last Name:UDOTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:18W082 JAMESTOWN LN
Mailing Address - Street 2:
Mailing Address - City:VILLA PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60181-3865
Mailing Address - Country:US
Mailing Address - Phone:630-317-7528
Mailing Address - Fax:
Practice Address - Street 1:18W082 JAMESTOWN LN
Practice Address - Street 2:
Practice Address - City:VILLA PARK
Practice Address - State:IL
Practice Address - Zip Code:60181-3865
Practice Address - Country:US
Practice Address - Phone:630-317-7528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-05
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.324335163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult