Paul Ninnemann, | |
1909 Cheker Sq, Hazel Crest, IL 60429-1442 | |
(708) 444-1012 | |
Not Available |
Full Name | Paul Ninnemann |
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Gender | Male |
Speciality | Social Worker - Clinical |
Location | 1909 Cheker Sq, Hazel Crest, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760863542 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 149021791 (Illinois) | Primary |
Entity Name | Midwest Post Acute Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083012074 PECOS PAC ID: 0143547117 Enrollment ID: O20150401000634 |
Mailing Address | Practice Location Address |
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Paul Ninnemann, 17746 Oak Park Ave, Tinley Park, IL 60477-3936 Ph: () - | Paul Ninnemann, 1909 Cheker Sq, Hazel Crest, IL 60429-1442 Ph: (708) 444-1012 |
Vienne Reid, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3330 W 177th St, Suite 1f, Hazel Crest, IL 60429 Phone: 708-460-9833 Fax: 708-460-1117 | |
Susan E Zeitner, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3330 W 177th St, Suite 1f, Hazel Crest, IL 60429 Phone: 708-745-3040 Fax: 708-799-1889 | |
Robert Emil Thurman Jr., LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 330 W. 177th Street, Suite 3f, Hazel Crest, IL 60430 Phone: 773-419-8288 Fax: 312-575-1280 | |
Rashida C Fearn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3330 W 177th St, Suite 1-f, Hazel Crest, IL 60429 Phone: 773-450-1044 | |
Jill M. Martinez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3330 W 177th St Ste 1f, Hazel Crest, IL 60429 Phone: 708-745-3040 | |
Ms. Nekeia M Wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3330 W 177th St, Suite 1f, Hazel Crest, IL 60429 Phone: 312-925-0090 | |
Tesa Rigel Hines, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17114 Magnolia Dr, Hazel Crest, IL 60429 Phone: 312-925-2525 |