Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. IRENE DMITRUK, DO
Active Sole ProprietorDR. IRENE DMITRUK, DO is a Emergency Medicine healthcare provider located in SAINT JOHN, Indiana. NPI 1861703399 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · SAINT JOHN, IN
Registration Details
- NPI Number
- 1861703399
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 30, 2010 (16.167304415449 yrs)
- Last Updated
- Dec 21, 2020
- Licenses
-
11014502A (IN)02003817A (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9660 WICKER AVESAINT JOHN, IN, 463739487Browse IN providers · Browse ZIP 46373
- Phone
- 2193651177
- Fax
- 2197036662
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Emergency Medicine
Other Emergency Medicine Providers in SAINT JOHN, IN
| Name | Credential | NPI |
|---|---|---|
| NADIM HAFEZ | MD | 1518164284 |
| BROOKE MCDERMOTT | MD | 1770769929 |
| SAADUDDIN MOHAMMED SIDDIQUI | MD | 1063940005 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.