MRS. VIRGINIA BAHENA FNP-BC PMHNP-BC NPI 1992411987

NPI Information

  • NPI: 1992411987
  • Provider Name: MRS. VIRGINIA BAHENA, FNP-BC, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5747 W FULLERTON AVE
    CHICAGO, IL
    ZIP 60639
  • Phone: (773) 413-7264

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NPI Details

MRS. Virginia Bahena, FNP-BC, PMHNP-BC is a psychiatric/mental health nurse practitioner in Chicago, IL. MRS. Virginia Bahena, FNP-BC, PMHNP-BC NPI is 1992411987. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5747 W FULLERTON AVE
CHICAGO, IL
ZIP 60639-353
Phone: (773) 413-7264
Fax: (773) 413-7013

The NPI 1992411987 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/24/2023 and was last updated on 5/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily209025213ILLINOISNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health2023019943ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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