| Midwest Post Acute Care Aco Pllc | |
|
3000 N Halsted St Ste 803 Chicago IL 60657-6185 | |
| (888) 705-8722 | |
| (888) 705-8722 |
| Full Name | Midwest Post Acute Care Aco Pllc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 3000 N Halsted St Ste 803, Chicago, Illinois |
| Authorized Official Name and Position | Sean C Cannone (OWNER) |
| Authorized Official Contact | 3303283167 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Post Acute Care Aco Pllc 2045 W Grand Ave Ste B #28354 Chicago IL 60612-1577 Ph: (888) 705-8722 | Midwest Post Acute Care Aco Pllc 3000 N Halsted St Ste 803 Chicago IL 60657-6185 Ph: (888) 705-8722 |
| NPI Number | 1457926537 |
|---|---|
| Provider Enumeration Date | 05/21/2021 |
| Last Update Date | 11/26/2024 |
| Certification Date | 11/26/2024 |
| Medicare PECOS PAC ID | 2961804976 |
|---|---|
| Medicare Enrollment ID | O20210714000468 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457926537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Primary |
| Provider Name | Lisa A Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255422366 PECOS PAC ID: 4486648474 Enrollment ID: I20070426000475 |
| Provider Name | Amie A Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104062124 PECOS PAC ID: 6709941982 Enrollment ID: I20130723000139 |
| Provider Name | Stephanie A Didyk-horine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821540444 PECOS PAC ID: 9537449475 Enrollment ID: I20161209001478 |
| Provider Name | Amye Litherland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760900039 PECOS PAC ID: 8123373412 Enrollment ID: I20180608000687 |
| Provider Name | Sarah K Shults |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245721521 PECOS PAC ID: 2466700869 Enrollment ID: I20180801001361 |
| Provider Name | Magdalene Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598237224 PECOS PAC ID: 3678810694 Enrollment ID: I20190130000169 |
| Provider Name | Michelle R Killian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588270615 PECOS PAC ID: 9830509710 Enrollment ID: I20201104000694 |
| Provider Name | Shannon Renee Mccarter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962079525 PECOS PAC ID: 3173925310 Enrollment ID: I20210712001777 |
| Provider Name | Ashlee R Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942811682 PECOS PAC ID: 4183043755 Enrollment ID: I20211012002358 |
| Provider Name | Ashleigh Denise Warburton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679274906 PECOS PAC ID: 3072988484 Enrollment ID: I20230417000357 |
| Provider Name | Porsche West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992491906 PECOS PAC ID: 0345608212 Enrollment ID: I20230626000505 |
| Provider Name | Aliyah Williams-boynton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477320638 PECOS PAC ID: 7315397866 Enrollment ID: I20231222002800 |
| Provider Name | Kimberly Sparenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891345518 PECOS PAC ID: 9234460635 Enrollment ID: I20240627003837 |
| Provider Name | Tammy Garcia Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285486902 PECOS PAC ID: 1658816392 Enrollment ID: I20240717002556 |
| Provider Name | Lisa Ann Broyles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376376236 PECOS PAC ID: 1557802683 Enrollment ID: I20240917002018 |
| Provider Name | Cristina Quiroz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114744927 PECOS PAC ID: 6608308036 Enrollment ID: I20241010001103 |
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