IndividualActive
Aizada Ibraimova, MSN, APRN, PMHNP-BC
NPI 1962381202 · Psychiatric/Mental Health Nurse Practitioner · Chicago, IL
Provider details
- NPI number
- 1962381202
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, APRN, PMHNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 209.033043 (IL)
Practice location
6717 S Evans Ave
Chicago, IL 60637-4132
Phone: (872) 269-5664
Fax: (833) 547-1927
Mailing address
3401 W Devon Ave Unit 59111
Chicago, IL 60659-6081
Registry dates
- Enumerated
- 2025-08-30
- Last updated
- 2026-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.