Josephine Minnicino, MD | |
18636 Dixie Hwy, Homewood, IL 60430-3741 | |
(708) 647-0571 | |
(708) 647-0676 |
Full Name | Josephine Minnicino |
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Gender | Female |
Speciality | Family Medicine |
Location | 18636 Dixie Hwy, Homewood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1528637857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036167133 (Illinois) | Primary |
Entity Name | Specialty Physicians Of Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124075676 PECOS PAC ID: 4183529456 Enrollment ID: O20031201000602 |
Entity Name | Blessingcare Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992038640 PECOS PAC ID: 2769420959 Enrollment ID: O20050419000684 |
Mailing Address | Practice Location Address |
---|---|
Josephine Minnicino, MD 35318 Eagle Way, Chicago, IL 60678-1353 Ph: (317) 528-4800 | Josephine Minnicino, MD 18636 Dixie Hwy, Homewood, IL 60430-3741 Ph: (708) 647-0571 |
William Cleveland Campbell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18636 Dixie Hwy, Homewood, IL 60430 Phone: 708-647-0571 | |
Yvonne Marie Jimenez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2840 Chayes Park Dr, Homewood, IL 60430 Phone: 708-935-2069 | |
Dr. Priya Shastri, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17901 Governors Hwy Ste 100, Homewood, IL 60430 Phone: 708-213-7975 Fax: 708-213-7975 | |
Lisa K. Richardson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18636 Dixie Hwy, Homewood, IL 60430 Phone: 708-647-0571 Fax: 708-647-0676 |