Minuteclinic Diagnostic Of Illinois Pllc | |
11200 W Lincoln Hwy Mokena IL 60448-8208 | |
(866) 389-2727 | |
(401) 406-3539 |
Full Name | Minuteclinic Diagnostic Of Illinois Pllc |
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Speciality | Nurse Practitioner |
Location | 11200 W Lincoln Hwy, Mokena, Illinois |
Authorized Official Name and Position | Deborah Jean Pincince (ADMINISTRATOR) |
Authorized Official Contact | 4017703813 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Minuteclinic Diagnostic Of Illinois Pllc 1 Cvs Dr Minuteclinic Mc-2295 Woonsocket RI 02895-6146 Ph: (401) 770-3813 | Minuteclinic Diagnostic Of Illinois Pllc 11200 W Lincoln Hwy Mokena IL 60448-8208 Ph: (866) 389-2727 |
NPI Number | 1356485809 |
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Provider Enumeration Date | 02/17/2007 |
Last Update Date | 07/24/2024 |
Certification Date | 07/24/2024 |
Medicare PECOS PAC ID | 8729171566 |
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Medicare Enrollment ID | O20070910000607 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356485809 | NPI | - | NPPES |
Provider Name | Shiney J Varghese |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508088485 PECOS PAC ID: 9234113648 Enrollment ID: I20040615000181 |
Provider Name | Anne Reed |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912973181 PECOS PAC ID: 2961408075 Enrollment ID: I20061012000624 |
Provider Name | Mary T Mcmanus |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063529717 PECOS PAC ID: 8426058397 Enrollment ID: I20061228000288 |
Provider Name | Angelita Oquendo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669505020 PECOS PAC ID: 7911003439 Enrollment ID: I20070430000511 |
Provider Name | Alayna M Hill |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952524241 PECOS PAC ID: 9739275355 Enrollment ID: I20071012000242 |
Provider Name | Sabeena Faiz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245428978 PECOS PAC ID: 5395833180 Enrollment ID: I20071112000551 |
Provider Name | Michelle A Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023144391 PECOS PAC ID: 5799874806 Enrollment ID: I20071127000602 |
Provider Name | Adeshalewa A Ademoyo Opakunle |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891983524 PECOS PAC ID: 2365531357 Enrollment ID: I20071128000432 |
Provider Name | Lyana M Kubilius |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518164433 PECOS PAC ID: 5597854505 Enrollment ID: I20071128000664 |
Provider Name | Kathleen M Bester |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750561817 PECOS PAC ID: 0547340481 Enrollment ID: I20080104000580 |
Provider Name | Anne-marie Maida |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699950576 PECOS PAC ID: 3678655735 Enrollment ID: I20080128000720 |
Provider Name | Imelda N Forsberg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306027891 PECOS PAC ID: 8426132994 Enrollment ID: I20080221000393 |
Provider Name | Dawn N Horejs |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811027816 PECOS PAC ID: 3274612346 Enrollment ID: I20080501000266 |
Provider Name | Shonda L Farris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023222817 PECOS PAC ID: 2264590405 Enrollment ID: I20081016000625 |
Provider Name | Julia Bennett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932312089 PECOS PAC ID: 3577622927 Enrollment ID: I20081030000394 |
Provider Name | Manijeh Ghafouri |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023265543 PECOS PAC ID: 5799848537 Enrollment ID: I20090106000297 |
Provider Name | Heather Henderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306864806 PECOS PAC ID: 1254356207 Enrollment ID: I20090212000298 |
Provider Name | Tammy D Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518105212 PECOS PAC ID: 1254498413 Enrollment ID: I20090316000528 |
Provider Name | Diane Zimmer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588801732 PECOS PAC ID: 0749347029 Enrollment ID: I20090401000329 |
Provider Name | Erin A Sinnaeve |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649432287 PECOS PAC ID: 8729151329 Enrollment ID: I20091006000152 |
Provider Name | Celezte M Franco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083940555 PECOS PAC ID: 3072546498 Enrollment ID: I20100304000484 |
Provider Name | Daniel P Owens |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1750544250 PECOS PAC ID: 7719016039 Enrollment ID: I20100525000989 |
Provider Name | Laurinia K Hunter |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679809313 PECOS PAC ID: 3274663711 Enrollment ID: I20100610000447 |
Provider Name | Melissa J Richardson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760791917 PECOS PAC ID: 1052592938 Enrollment ID: I20110225000067 |
Provider Name | Julianna M James |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528387990 PECOS PAC ID: 4587845326 Enrollment ID: I20110225000840 |
Provider Name | Julie A Sieling |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568766764 PECOS PAC ID: 1850574484 Enrollment ID: I20110319000084 |
Provider Name | Michelle R Richardson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659688687 PECOS PAC ID: 1557544806 Enrollment ID: I20110323000631 |
Provider Name | Maylene Benes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952614778 PECOS PAC ID: 8921282500 Enrollment ID: I20110405001120 |
Provider Name | Jennifer L Fitzer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265751838 PECOS PAC ID: 2961686340 Enrollment ID: I20110408000415 |
Provider Name | Jennifer S Clements |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144527235 PECOS PAC ID: 7315122082 Enrollment ID: I20110421000714 |
Provider Name | Erin K Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447556543 PECOS PAC ID: 5597940155 Enrollment ID: I20110425000505 |
Provider Name | Paula E Blair |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922307917 PECOS PAC ID: 6406032994 Enrollment ID: I20110518000250 |
Provider Name | Afrodita Salievska |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386941482 PECOS PAC ID: 1759567001 Enrollment ID: I20110520000511 |
Provider Name | Lori A Watt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962718437 PECOS PAC ID: 1557548567 Enrollment ID: I20110531000308 |
Provider Name | Theresa M Larson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942593496 PECOS PAC ID: 0941488100 Enrollment ID: I20110617000346 |
Provider Name | Linda S Jackson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629078910 PECOS PAC ID: 0840477840 Enrollment ID: I20110617000377 |
Provider Name | Monika Vijit |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679865588 PECOS PAC ID: 5193903359 Enrollment ID: I20110617000392 |
Provider Name | Marybeth Mccarthy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619100161 PECOS PAC ID: 9830238989 Enrollment ID: I20111014000454 |
Provider Name | Mary K Dahilig |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225314990 PECOS PAC ID: 8022284959 Enrollment ID: I20111227000477 |
Provider Name | Tekekee D Buckner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538442918 PECOS PAC ID: 6709052582 Enrollment ID: I20111228000398 |
Provider Name | Erin A Zdanio |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376829762 PECOS PAC ID: 1850567637 Enrollment ID: I20111228000438 |
Provider Name | Stephanie A Butler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659650455 PECOS PAC ID: 7911174370 Enrollment ID: I20120125000783 |
Provider Name | Shatara Coleman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801174701 PECOS PAC ID: 0042477168 Enrollment ID: I20120201000548 |
Provider Name | Tracy M Frazzini |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790057164 PECOS PAC ID: 9830358498 Enrollment ID: I20120317000009 |
Provider Name | Tiffany Moy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710256607 PECOS PAC ID: 3870753197 Enrollment ID: I20120323000529 |
Provider Name | Rachel M Brauer Dever |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831466143 PECOS PAC ID: 6800057696 Enrollment ID: I20120423000713 |
Provider Name | Nicole R Rissman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710261938 PECOS PAC ID: 0941462493 Enrollment ID: I20120430000745 |
Provider Name | Tracie Clisby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942574769 PECOS PAC ID: 3173779303 Enrollment ID: I20120803000415 |
Provider Name | Sandra C Manogura |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356602320 PECOS PAC ID: 1456509876 Enrollment ID: I20120910000505 |
Provider Name | Michelle J Bator |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114291473 PECOS PAC ID: 9739338740 Enrollment ID: I20121008000642 |
Provider Name | Joseph Escobar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538419544 PECOS PAC ID: 1052565975 Enrollment ID: I20130131000138 |
Provider Name | Marion S Kolar |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184997843 PECOS PAC ID: 9739333667 Enrollment ID: I20130131000204 |
Provider Name | Maria G Nardulli |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861736423 PECOS PAC ID: 3577717297 Enrollment ID: I20130205000547 |
Provider Name | Kylee L Crowther |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598000747 PECOS PAC ID: 8820233992 Enrollment ID: I20130320000123 |
Provider Name | Sajeena Kishore |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356699284 PECOS PAC ID: 7810132602 Enrollment ID: I20130327000306 |
Provider Name | Veronica T Fernandez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720332877 PECOS PAC ID: 4688819493 Enrollment ID: I20130327000478 |
Provider Name | Lyndsey M Powell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609120591 PECOS PAC ID: 8224273743 Enrollment ID: I20130403000384 |
Provider Name | Okechi U Odoka |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174860498 PECOS PAC ID: 1850536301 Enrollment ID: I20130404000113 |
Provider Name | Reena V Blesson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619221900 PECOS PAC ID: 1557507159 Enrollment ID: I20130427000133 |
Provider Name | Bethany R Rettberg |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487995759 PECOS PAC ID: 1153560412 Enrollment ID: I20130617000515 |
Provider Name | Jenetria Howard |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457660961 PECOS PAC ID: 3476736331 Enrollment ID: I20130617000642 |
Provider Name | Soha Gowani |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871936096 PECOS PAC ID: 2769622661 Enrollment ID: I20130716000814 |
Provider Name | Ashley J Bray |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114265725 PECOS PAC ID: 3072754258 Enrollment ID: I20130731000248 |
Provider Name | Jennifer L Hazard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578902839 PECOS PAC ID: 7517109473 Enrollment ID: I20130806000689 |
Provider Name | Maria Teresa N Obenza |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649520990 PECOS PAC ID: 5597908483 Enrollment ID: I20130824000101 |
Provider Name | Jennifer L Mihailovic |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083959167 PECOS PAC ID: 1254575046 Enrollment ID: I20130917000713 |
Provider Name | Kathryn M Merrick |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811320989 PECOS PAC ID: 1153555941 Enrollment ID: I20131010000578 |
Provider Name | Keonya J Gillespie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528490190 PECOS PAC ID: 6608001979 Enrollment ID: I20131023001099 |
Provider Name | Maureen E Walsh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528291150 PECOS PAC ID: 5890824908 Enrollment ID: I20131106001796 |
Provider Name | Diana Diakakis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225465487 PECOS PAC ID: 9739315094 Enrollment ID: I20131115001374 |
Provider Name | Hiba Almadadha |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144565458 PECOS PAC ID: 0840426821 Enrollment ID: I20131121000894 |
Provider Name | Anna Marie C Sioson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528402856 PECOS PAC ID: 6305072380 Enrollment ID: I20131121001160 |
Provider Name | Sarah A Hussain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063840072 PECOS PAC ID: 0941436711 Enrollment ID: I20131126001899 |
Provider Name | Tamara L Hauserman Aggacid |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215371232 PECOS PAC ID: 1951537752 Enrollment ID: I20131127000975 |
Provider Name | Shannon G Houda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811322027 PECOS PAC ID: 3274760293 Enrollment ID: I20131219001817 |
Provider Name | Christine Marie Swanson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225465305 PECOS PAC ID: 7315174174 Enrollment ID: I20131226001307 |
Provider Name | Gail Gannon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639502230 PECOS PAC ID: 9436388956 Enrollment ID: I20140204000329 |
Provider Name | William J Collopy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407285166 PECOS PAC ID: 1052540952 Enrollment ID: I20140218000627 |
Provider Name | Violet B Mcguane |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730426545 PECOS PAC ID: 5890925499 Enrollment ID: I20140227000437 |
Provider Name | Christina M Lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215359559 PECOS PAC ID: 9537399878 Enrollment ID: I20140305001567 |
Provider Name | Victoria L Caulfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184049660 PECOS PAC ID: 7517198765 Enrollment ID: I20140401001193 |
Provider Name | Franchesca M Hammond |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922424050 PECOS PAC ID: 0143445999 Enrollment ID: I20140710001747 |
Provider Name | Dinara Hyland |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841618998 PECOS PAC ID: 5597981431 Enrollment ID: I20140729002088 |
Provider Name | Karen Fernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669883112 PECOS PAC ID: 3779700737 Enrollment ID: I20140814002045 |
Provider Name | Patricia A Lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467869107 PECOS PAC ID: 8628295474 Enrollment ID: I20140819000722 |
Provider Name | Lauren K Mccarthy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104234087 PECOS PAC ID: 9830319615 Enrollment ID: I20140929002086 |
Provider Name | Annie Moy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457752743 PECOS PAC ID: 3577785583 Enrollment ID: I20141106001307 |
Provider Name | Laura A Hudson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730584368 PECOS PAC ID: 5496977704 Enrollment ID: I20141120001343 |
Provider Name | Bethany Wolf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083017826 PECOS PAC ID: 2466774559 Enrollment ID: I20141126001141 |
Provider Name | Syra Postelnick |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881097301 PECOS PAC ID: 1759603749 Enrollment ID: I20141202001267 |
Provider Name | Lauren Lapaz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821492471 PECOS PAC ID: 0840512521 Enrollment ID: I20141208001903 |
Provider Name | Lindsie J Fransen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063818110 PECOS PAC ID: 5698098564 Enrollment ID: I20141229001602 |
Provider Name | Danielle K Battistoni |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093119802 PECOS PAC ID: 7416271564 Enrollment ID: I20150120000319 |
Provider Name | Tamra J Chan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588066427 PECOS PAC ID: 4284959800 Enrollment ID: I20150202001470 |
Provider Name | Bridget M Mcdonald |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790189132 PECOS PAC ID: 6800112392 Enrollment ID: I20150227000281 |
Provider Name | Tiffany R Budzinski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982092698 PECOS PAC ID: 4385960780 Enrollment ID: I20150302001918 |
Provider Name | Catherine J Phillips |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881083327 PECOS PAC ID: 0042537508 Enrollment ID: I20150320000634 |
Provider Name | Melissa J Collins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407162092 PECOS PAC ID: 1951598911 Enrollment ID: I20150428000050 |
Provider Name | Melissa A Cartolano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194149328 PECOS PAC ID: 0244451326 Enrollment ID: I20150605000445 |
Provider Name | Jeunese A Forchin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689052656 PECOS PAC ID: 0143531251 Enrollment ID: I20150616001991 |
Provider Name | Jerusha S Steed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942603352 PECOS PAC ID: 4880908409 Enrollment ID: I20150727002009 |
Provider Name | Dorota M Myslinski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134513971 PECOS PAC ID: 1456665165 Enrollment ID: I20150807014239 |
Provider Name | Samantha P Bonzani |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982081378 PECOS PAC ID: 6507171741 Enrollment ID: I20150817001505 |
Provider Name | Violetta A Magiera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932584620 PECOS PAC ID: 6608182787 Enrollment ID: I20150903002561 |
Provider Name | Tracy I Jackson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871894899 PECOS PAC ID: 3375850126 Enrollment ID: I20150911000779 |
Provider Name | Danielle L Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962879403 PECOS PAC ID: 9234446717 Enrollment ID: I20150916000467 |
Provider Name | Rachel L Hesse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003283755 PECOS PAC ID: 0547578072 Enrollment ID: I20151002002431 |
Provider Name | Candace S Black |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235502246 PECOS PAC ID: 2860793866 Enrollment ID: I20151216002257 |
Provider Name | Neung H Kwon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649637075 PECOS PAC ID: 1456655646 Enrollment ID: I20160209001025 |
Provider Name | Janelle M Kittelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932503554 PECOS PAC ID: 8820312960 Enrollment ID: I20160401001273 |
Provider Name | Lanesia Cephus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598120719 PECOS PAC ID: 8426357591 Enrollment ID: I20160425001930 |
Provider Name | Eunice E Kim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043684863 PECOS PAC ID: 9436448610 Enrollment ID: I20160511000268 |
Provider Name | Dan Clemente |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366805855 PECOS PAC ID: 1850682360 Enrollment ID: I20160614000185 |
Provider Name | Shiney A George |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285008805 PECOS PAC ID: 5698066876 Enrollment ID: I20160617001343 |
Provider Name | Jennifer Christine Offen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437588472 PECOS PAC ID: 9739303330 Enrollment ID: I20160620001367 |
Provider Name | Arti Shah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427407105 PECOS PAC ID: 5890087100 Enrollment ID: I20160707000476 |
Provider Name | Anne E Escobar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669898011 PECOS PAC ID: 9739402728 Enrollment ID: I20160713002433 |
Provider Name | Eunice M Kim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629427968 PECOS PAC ID: 9133411036 Enrollment ID: I20160713002538 |
Provider Name | Imelda Homecgoy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487010534 PECOS PAC ID: 9638461429 Enrollment ID: I20160715000158 |
Provider Name | Patrick J Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841658622 PECOS PAC ID: 4486948742 Enrollment ID: I20160809001825 |
Provider Name | Snehal Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962852897 PECOS PAC ID: 9537454087 Enrollment ID: I20160823000330 |
Provider Name | Sonia A Mahmood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003273434 PECOS PAC ID: 1052691235 Enrollment ID: I20161205001305 |
Provider Name | Danielle A Babbington |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801165758 PECOS PAC ID: 0648551143 Enrollment ID: I20161221000117 |
Provider Name | Donna R Anaski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326590860 PECOS PAC ID: 8921389420 Enrollment ID: I20161221000450 |
Provider Name | Theresa S Andrews |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518401090 PECOS PAC ID: 4385927961 Enrollment ID: I20170206000347 |
Provider Name | Helen Marie Muchow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003359795 PECOS PAC ID: 3870876105 Enrollment ID: I20170213001141 |
Provider Name | Joan Fadonugbo-kuton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528508678 PECOS PAC ID: 5799052023 Enrollment ID: I20170517000768 |
Provider Name | Ndembeleki Freitas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992241061 PECOS PAC ID: 9234407057 Enrollment ID: I20170620003260 |
Provider Name | Candice Michelle Richards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528471059 PECOS PAC ID: 6204104888 Enrollment ID: I20170623000090 |
Provider Name | Megan L Kaliszewski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922417161 PECOS PAC ID: 9335367093 Enrollment ID: I20170901000609 |
Provider Name | Fatima M El Hawary |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417478553 PECOS PAC ID: 8729354626 Enrollment ID: I20171020000818 |
Provider Name | Beata K Kaczkowski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548787831 PECOS PAC ID: 4587930953 Enrollment ID: I20171030003465 |
Provider Name | Elizabeth Alexander |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730690942 PECOS PAC ID: 1759640030 Enrollment ID: I20180111002736 |
Provider Name | Silvija Rezo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144730904 PECOS PAC ID: 8628337466 Enrollment ID: I20180124000421 |
Provider Name | Jamie Wadas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033624648 PECOS PAC ID: 0143589820 Enrollment ID: I20180126000276 |
Provider Name | Kristen M Zelek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356857890 PECOS PAC ID: 0840550018 Enrollment ID: I20180208000000 |
Provider Name | Natasha N Pavlovcik |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205343514 PECOS PAC ID: 6901169143 Enrollment ID: I20180425000006 |
Provider Name | Laura Trujillo-castellanos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588155956 PECOS PAC ID: 6709131907 Enrollment ID: I20180612000384 |
Provider Name | Rachel Celeste Henderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609365014 PECOS PAC ID: 2466708417 Enrollment ID: I20180703003292 |
Provider Name | Andrea C Komsri |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053805895 PECOS PAC ID: 8921359472 Enrollment ID: I20180921000844 |
Provider Name | Kelli Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508348590 PECOS PAC ID: 4082966395 Enrollment ID: I20181016000968 |
Provider Name | Lauren E Rosen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134603913 PECOS PAC ID: 4082967559 Enrollment ID: I20181030003021 |
Provider Name | Katrina K Berres |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831665231 PECOS PAC ID: 6305181918 Enrollment ID: I20181228001610 |
Provider Name | Laura Mcbride |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962908418 PECOS PAC ID: 5597002147 Enrollment ID: I20190122000034 |
Provider Name | Valerie Merancia Aurel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700351723 PECOS PAC ID: 8527306919 Enrollment ID: I20190211000197 |
Provider Name | Kayla Marchelle Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528553013 PECOS PAC ID: 0244578326 Enrollment ID: I20190215000015 |
Provider Name | Jennifer M Alamillo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235603713 PECOS PAC ID: 4183963119 Enrollment ID: I20190308000503 |
Provider Name | Kristina Zielbauer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730646993 PECOS PAC ID: 7517206931 Enrollment ID: I20190409003043 |
Provider Name | Matthew Chi Ho Yau |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972065423 PECOS PAC ID: 2961743034 Enrollment ID: I20190418001047 |
Provider Name | Kristen M Mau |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376031831 PECOS PAC ID: 2769724640 Enrollment ID: I20190424001666 |
Provider Name | Anna Suzette Lobo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417416702 PECOS PAC ID: 7517209109 Enrollment ID: I20190501000949 |
Provider Name | Klaudia Rokicki |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366006017 PECOS PAC ID: 6002159100 Enrollment ID: I20190513000715 |
Provider Name | Krista M Haun |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770902280 PECOS PAC ID: 0648490557 Enrollment ID: I20190514001730 |
Provider Name | Kathleen Simonaitis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477119006 PECOS PAC ID: 7416290887 Enrollment ID: I20190529000322 |
Provider Name | Julia J Shiheiber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952820763 PECOS PAC ID: 2264793876 Enrollment ID: I20190801000673 |
Provider Name | Regina Ruffin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164084133 PECOS PAC ID: 5294063939 Enrollment ID: I20190820001418 |
Provider Name | Guysela Youbi Nguemegni |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790344018 PECOS PAC ID: 0042549818 Enrollment ID: I20190904003195 |
Provider Name | Katheryn Venezia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225697634 PECOS PAC ID: 6800125253 Enrollment ID: I20190910001458 |
Provider Name | Jocelyn Arackal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861044588 PECOS PAC ID: 1355671561 Enrollment ID: I20191001000314 |
Provider Name | Valerie Lea Streich |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760900047 PECOS PAC ID: 8820328990 Enrollment ID: I20191003000090 |
Provider Name | Malgorzata Zagrodny |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073175741 PECOS PAC ID: 1658602503 Enrollment ID: I20191008002564 |
Provider Name | Camlinh Nguyen Roska |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336798677 PECOS PAC ID: 9931431731 Enrollment ID: I20191028003245 |
Provider Name | Mackenna Hill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487297271 PECOS PAC ID: 3678905957 Enrollment ID: I20191111000918 |
Provider Name | Emily Tillotson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740830694 PECOS PAC ID: 5890127377 Enrollment ID: I20191121002625 |
Provider Name | Jean K Kombwa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083266878 PECOS PAC ID: 2062846769 Enrollment ID: I20200106002755 |
Provider Name | Judith Mongoum Pene |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134767759 PECOS PAC ID: 0547695736 Enrollment ID: I20200116000626 |
Provider Name | Natasha Obradovic |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306482187 PECOS PAC ID: 8921433673 Enrollment ID: I20200127001802 |
Provider Name | Stephanie Harvey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821638826 PECOS PAC ID: 9133555394 Enrollment ID: I20200206000832 |
Provider Name | Colleen Vail Trnka |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972141497 PECOS PAC ID: 9537595558 Enrollment ID: I20200210002265 |
Provider Name | Khrystyna Huzar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437794476 PECOS PAC ID: 4486080280 Enrollment ID: I20200213001877 |
Provider Name | Christine Ann Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366084477 PECOS PAC ID: 3678901964 Enrollment ID: I20200320000018 |
Provider Name | Carmen Taylor-mason |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902324296 PECOS PAC ID: 7214366442 Enrollment ID: I20200408004599 |
Provider Name | Rickeda Granberry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689293987 PECOS PAC ID: 6103257993 Enrollment ID: I20200511003408 |
Provider Name | Jillian Knight |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356985329 PECOS PAC ID: 6204257231 Enrollment ID: I20200529002879 |
Provider Name | Kristina Fabis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154955813 PECOS PAC ID: 3577983535 Enrollment ID: I20201014000625 |
Provider Name | Egle Ramaskeviciute |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295367407 PECOS PAC ID: 9830519727 Enrollment ID: I20201014002353 |
Provider Name | Donna Ptasinski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033728951 PECOS PAC ID: 9032539986 Enrollment ID: I20201015001416 |
Provider Name | Jennifer Lodise |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134769797 PECOS PAC ID: 1658781125 Enrollment ID: I20201112000733 |
Provider Name | Allison N Ramsey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518442995 PECOS PAC ID: 4880007558 Enrollment ID: I20210120000318 |
Provider Name | Kristin S Miers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962914135 PECOS PAC ID: 6406114834 Enrollment ID: I20210202000473 |
Provider Name | Alesha Young |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063945038 PECOS PAC ID: 9335554070 Enrollment ID: I20210210003097 |
Provider Name | Annie White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780271247 PECOS PAC ID: 8628483880 Enrollment ID: I20210219002598 |
Provider Name | Catherine V. Espinosa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699386607 PECOS PAC ID: 9739595547 Enrollment ID: I20210302002566 |
Provider Name | Lorena Martinez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952912305 PECOS PAC ID: 9638585359 Enrollment ID: I20210304000502 |
Provider Name | Yvonne Batton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912592940 PECOS PAC ID: 3375959711 Enrollment ID: I20210309001919 |
Provider Name | Jessica List |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124620422 PECOS PAC ID: 2466869490 Enrollment ID: I20210318001248 |
Provider Name | Rasheda Renee Taylor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588127740 PECOS PAC ID: 6800203605 Enrollment ID: I20210323001244 |
Provider Name | Hemi Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225638588 PECOS PAC ID: 0244647071 Enrollment ID: I20210323002654 |
Provider Name | Deborah Jakala |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417391426 PECOS PAC ID: 2062821440 Enrollment ID: I20210514002483 |
Provider Name | Veronica Shearin-sims |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396327847 PECOS PAC ID: 1355741216 Enrollment ID: I20210614003327 |
Provider Name | Krystle Marasigan Sese |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811569049 PECOS PAC ID: 4183028814 Enrollment ID: I20210803001985 |
Provider Name | Prachi Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124607056 PECOS PAC ID: 6406250760 Enrollment ID: I20210809001589 |
Provider Name | Brittany Mcgill |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356915599 PECOS PAC ID: 9830595867 Enrollment ID: I20210831000759 |
Provider Name | Tarren Prange |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922573625 PECOS PAC ID: 0345584108 Enrollment ID: I20210923000572 |
Provider Name | Tanisha J Rayson-henry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720676760 PECOS PAC ID: 7113316563 Enrollment ID: I20211105001211 |
Provider Name | Sylwia Balaga |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821673534 PECOS PAC ID: 0143619254 Enrollment ID: I20211111000690 |
Provider Name | Mereena Thayil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093318453 PECOS PAC ID: 2466841101 Enrollment ID: I20211117002980 |
Provider Name | Michael Fitz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134735343 PECOS PAC ID: 9436549771 Enrollment ID: I20211201000973 |
Provider Name | Erin D Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093485948 PECOS PAC ID: 8729478078 Enrollment ID: I20211201001455 |
Provider Name | Pamela Maloney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871267997 PECOS PAC ID: 0547650707 Enrollment ID: I20211201002348 |
Provider Name | Joslyn Christopher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326612136 PECOS PAC ID: 9335539402 Enrollment ID: I20211203000538 |
Provider Name | Beena Lopez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720606429 PECOS PAC ID: 2668862384 Enrollment ID: I20211210001853 |
Provider Name | Calena Goins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700453198 PECOS PAC ID: 2567853781 Enrollment ID: I20211223001447 |
Provider Name | Katherine E. Muniz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073077608 PECOS PAC ID: 7214279454 Enrollment ID: I20211228001547 |
Provider Name | Metali K Shah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689240236 PECOS PAC ID: 1557753217 Enrollment ID: I20220110001898 |
Provider Name | Tamara Lynn Paradies |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265194047 PECOS PAC ID: 5496002479 Enrollment ID: I20220112000728 |
Provider Name | Crystal A Lacy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194494823 PECOS PAC ID: 0941692776 Enrollment ID: I20220127002510 |
Provider Name | Amanda Erdmann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043846041 PECOS PAC ID: 5890188858 Enrollment ID: I20220215002350 |
Provider Name | Jessica Nowakowski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811657323 PECOS PAC ID: 3375937428 Enrollment ID: I20220307000643 |
Provider Name | Victoria S Price |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538829981 PECOS PAC ID: 1052705134 Enrollment ID: I20220307001621 |
Provider Name | Krishna Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588231120 PECOS PAC ID: 6406240415 Enrollment ID: I20220308000512 |
Provider Name | Courtney Barney |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720736994 PECOS PAC ID: 5597152256 Enrollment ID: I20220427001323 |
Provider Name | Yesenia Bailey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922616408 PECOS PAC ID: 2860889144 Enrollment ID: I20220505001166 |
Provider Name | Violeta Kozlovskaja |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497409064 PECOS PAC ID: 6608254792 Enrollment ID: I20220601002404 |
Provider Name | Cassidy C Anderson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871867101 PECOS PAC ID: 3779961446 Enrollment ID: I20220608002367 |
Provider Name | Jessica Timmins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538812490 PECOS PAC ID: 5991183519 Enrollment ID: I20220609000996 |
Provider Name | Ani Veleva |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366918294 PECOS PAC ID: 3971847716 Enrollment ID: I20220711002944 |
Provider Name | Hildred Amegashie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942855234 PECOS PAC ID: 6608257290 Enrollment ID: I20220713002754 |
Provider Name | Josina Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235873332 PECOS PAC ID: 7113309170 Enrollment ID: I20220808001307 |
Provider Name | Erica Diaz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023755089 PECOS PAC ID: 8123402732 Enrollment ID: I20220831001792 |
Provider Name | Dawn Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881352433 PECOS PAC ID: 6608038245 Enrollment ID: I20220928002431 |
Provider Name | Melissa Torres-nuno |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598382491 PECOS PAC ID: 8628480027 Enrollment ID: I20221020001135 |
Provider Name | Anait Grigoryan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801343397 PECOS PAC ID: 5092040675 Enrollment ID: I20221102001637 |
Provider Name | Sarah Jacobs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164141586 PECOS PAC ID: 5193193555 Enrollment ID: I20221116002475 |
Provider Name | Amelia N Bazzi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386294262 PECOS PAC ID: 4183057334 Enrollment ID: I20221130003140 |
Provider Name | Yuliana Nalysnyk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649995952 PECOS PAC ID: 6204206154 Enrollment ID: I20230110002042 |
Provider Name | Melissa Mikota |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346673910 PECOS PAC ID: 9032344544 Enrollment ID: I20230113000628 |
Provider Name | Rochelle Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861116691 PECOS PAC ID: 1658742945 Enrollment ID: I20230124003138 |
Provider Name | Cassie Gillespie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922725381 PECOS PAC ID: 0840661823 Enrollment ID: I20230131000323 |
Provider Name | Mary E Franke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376144725 PECOS PAC ID: 6002286952 Enrollment ID: I20230224000620 |
Provider Name | Robyn Mcclelland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386391936 PECOS PAC ID: 5496136202 Enrollment ID: I20230331000318 |
Provider Name | Michael Catalan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609573336 PECOS PAC ID: 7719342179 Enrollment ID: I20230508002737 |
Provider Name | Melissa Gonzalez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518667195 PECOS PAC ID: 3274999479 Enrollment ID: I20230512002075 |
Provider Name | Hiral Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831809110 PECOS PAC ID: 6901263110 Enrollment ID: I20230602001811 |
Provider Name | Sarah Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235820200 PECOS PAC ID: 5597125674 Enrollment ID: I20230720003114 |
Provider Name | Michelle Doriety |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972209690 PECOS PAC ID: 2163883323 Enrollment ID: I20230803002912 |
Deafinitely Able Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11437 Swinford Ln, Mokena, IL 60448 Phone: 708-829-2030 | |
Chicvara & Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 19102 S Blackhawk Pkwy, Suite 25e, Mokena, IL 60448 Phone: 708-473-2445 Fax: 815-469-6666 | |
Sunrise Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10062 W 190th Pl Ste 113, Mokena, IL 60448 Phone: 815-274-7118 | |
Your Journey Counseling, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10062 W 190th Pl Ste 109, Mokena, IL 60448 Phone: 708-638-0027 | |
Real Change Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11225 Front St, Mokena, IL 60448 Phone: 815-483-4460 | |
Kanda Therapy Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9200 W 191st St Ste 6, Mokena, IL 60448 Phone: 815-421-9131 | |
Great Changes Counseling Services, P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 9435 Bormet Dr Ste 5, Mokena, IL 60448 Phone: 815-260-2566 |