| Connections Medical Group Associates Llc | |
|
2081 Calistoga Dr Ste 2s New Lenox IL 60451-4833 | |
| (815) 418-6070 | |
| Not Available |
| Full Name | Connections Medical Group Associates Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2081 Calistoga Dr Ste 2s, New Lenox, Illinois |
| Authorized Official Name and Position | Semone West (MEMBER) |
| Authorized Official Contact | 3122089741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connections Medical Group Associates Llc 2081 Calistoga Dr Ste 2s New Lenox IL 60451-4833 Ph: (815) 418-6070 | Connections Medical Group Associates Llc 2081 Calistoga Dr Ste 2s New Lenox IL 60451-4833 Ph: (815) 418-6070 |
| NPI Number | 1548697618 |
|---|---|
| Provider Enumeration Date | 10/03/2013 |
| Last Update Date | 05/19/2023 |
| Certification Date | 05/19/2023 |
| Medicare PECOS PAC ID | 2365662517 |
|---|---|
| Medicare Enrollment ID | O20141009002643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548697618 | NPI | - | NPPES |
| Provider Name | Semone Michelle West |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750475109 PECOS PAC ID: 1759332596 Enrollment ID: I20050209000293 |
| Provider Name | Nora J Beasanski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700961711 PECOS PAC ID: 7911068432 Enrollment ID: I20081202000848 |
| Provider Name | Johnny Williamson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144310509 PECOS PAC ID: 9335277631 Enrollment ID: I20100506000811 |
| Provider Name | Nashwa M Hasabou |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639139058 PECOS PAC ID: 2365459260 Enrollment ID: I20121108000379 |
| Provider Name | Arlene Angela Paden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093876534 PECOS PAC ID: 2264429265 Enrollment ID: I20160426000999 |
| Provider Name | Debora J Ellis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003352196 PECOS PAC ID: 9133402464 Enrollment ID: I20170213001175 |
| Provider Name | Cari Ann Betts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578190500 PECOS PAC ID: 4587089248 Enrollment ID: I20200729001473 |
| Provider Name | Audrey Lee Rolandelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669037206 PECOS PAC ID: 1355766205 Enrollment ID: I20200810000851 |
| Provider Name | Sarah Lowe Kelder |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346432986 PECOS PAC ID: 0648680322 Enrollment ID: I20201109001548 |
| Provider Name | Doris Ngozi Nwoko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811585425 PECOS PAC ID: 4880002922 Enrollment ID: I20210409001131 |
| Provider Name | Josephine O. Darko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649938366 PECOS PAC ID: 9537547344 Enrollment ID: I20220607003245 |
| Provider Name | Melissa Roberts-new |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134419542 PECOS PAC ID: 0941682512 Enrollment ID: I20220728001696 |
| Provider Name | Manpreet Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659089274 PECOS PAC ID: 8224400981 Enrollment ID: I20230207002270 |
| Provider Name | Tawana Monique Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457133787 PECOS PAC ID: 1951744135 Enrollment ID: I20240205001511 |
| Provider Name | Karyn L Horan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861852188 PECOS PAC ID: 5193165173 Enrollment ID: I20240425000629 |
| Provider Name | Robye D Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528364346 PECOS PAC ID: 2567802648 Enrollment ID: I20240507000802 |
| Provider Name | Nina Drape |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1316507056 PECOS PAC ID: 3173964251 Enrollment ID: I20240508000610 |
| Provider Name | Eric Martin Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689011041 PECOS PAC ID: 1951843689 Enrollment ID: I20240610000169 |
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