Provider Demographics
NPI:1487246963
Name:TSYHAN, IRYNA
Entity type:Individual
Prefix:MRS
First Name:IRYNA
Middle Name:
Last Name:TSYHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:IRYNA
Other - Middle Name:
Other - Last Name:TSYHAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CSA
Mailing Address - Street 1:2940 N SCHOENBECK RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-2229
Mailing Address - Country:US
Mailing Address - Phone:630-809-2931
Mailing Address - Fax:
Practice Address - Street 1:2940 N SCHOENBECK RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-2229
Practice Address - Country:US
Practice Address - Phone:630-809-2931
Practice Address - Fax:630-323-5220
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-06
Last Update Date:2021-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL238.000573246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty