Minuteclinic Video Virtual Care North, Llc | |
11200 Lincoln Hwy Mokena IL 60448-8208 | |
(866) 389-2727 | |
Not Available |
Full Name | Minuteclinic Video Virtual Care North, Llc |
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Speciality | Nurse Practitioner |
Location | 11200 Lincoln Hwy, Mokena, Illinois |
Authorized Official Name and Position | Deborah 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 Video Virtual Care North, Llc 1 Cvs Dr # Mc2295 Woonsocket RI 02895-6146 Ph: () - | Minuteclinic Video Virtual Care North, Llc 11200 Lincoln Hwy Mokena IL 60448-8208 Ph: (866) 389-2727 |
NPI Number | 1518512227 |
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Provider Enumeration Date | 08/08/2019 |
Last Update Date | 08/30/2024 |
Certification Date | 08/30/2024 |
Medicare PECOS PAC ID | 1254762297 |
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Medicare Enrollment ID | O20200620000026 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518512227 | NPI | - | NPPES |
Provider Name | Lola Prince |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417957051 PECOS PAC ID: 0446250302 Enrollment ID: I20061228000260 |
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 | 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 | Dawn N Horejs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811027816 PECOS PAC ID: 3274612346 Enrollment ID: I20080501000266 |
Provider Name | Celezte M Franco |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083940555 PECOS PAC ID: 3072546498 Enrollment ID: I20100304000484 |
Provider Name | Laurinia K Hunter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679809313 PECOS PAC ID: 3274663711 Enrollment ID: I20100610000447 |
Provider Name | Melissa J Richardson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760791917 PECOS PAC ID: 1052592938 Enrollment ID: I20110225000067 |
Provider Name | Paula E Blair |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922307917 PECOS PAC ID: 6406032994 Enrollment ID: I20110518000250 |
Provider Name | Marybeth Mccarthy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619100161 PECOS PAC ID: 9830238989 Enrollment ID: I20111014000454 |
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 | 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 | Ashley J Bray |
---|---|
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 | Kathryn M Merrick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811320989 PECOS PAC ID: 1153555941 Enrollment ID: I20131010000578 |
Provider Name | Keonya J Gillespie |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528490190 PECOS PAC ID: 6608001979 Enrollment ID: I20131023001099 |
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 | Karen Fernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669883112 PECOS PAC ID: 3779700737 Enrollment ID: I20140814002045 |
Provider Name | Lauren K Mccarthy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104234087 PECOS PAC ID: 9830319615 Enrollment ID: I20140929002086 |
Provider Name | Bethany Wolf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083017826 PECOS PAC ID: 2466774559 Enrollment ID: I20141126001141 |
Provider Name | Lauren Lapaz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821492471 PECOS PAC ID: 0840512521 Enrollment ID: I20141208001903 |
Provider Name | Bridget M Mcdonald |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790189132 PECOS PAC ID: 6800112392 Enrollment ID: I20150227000281 |
Provider Name | Jerusha S Steed |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942603352 PECOS PAC ID: 4880908409 Enrollment ID: I20150727002009 |
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 | Arti Shah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427407105 PECOS PAC ID: 5890087100 Enrollment ID: I20160707000476 |
Provider Name | Imelda Homecgoy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487010534 PECOS PAC ID: 9638461429 Enrollment ID: I20160715000158 |
Provider Name | Ndembeleki Freitas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992241061 PECOS PAC ID: 9234407057 Enrollment ID: I20170620003260 |
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 | Kelli Evans |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508348590 PECOS PAC ID: 4082966395 Enrollment ID: I20181016000968 |
Provider Name | Lauren E Rosen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134603913 PECOS PAC ID: 4082967559 Enrollment ID: I20181030003021 |
Provider Name | Laura Mcbride |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962908418 PECOS PAC ID: 5597002147 Enrollment ID: I20190122000034 |
Provider Name | Matthew Chi Ho Yau |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972065423 PECOS PAC ID: 2961743034 Enrollment ID: I20190418001047 |
Provider Name | Klaudia Rokicki |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366006017 PECOS PAC ID: 6002159100 Enrollment ID: I20190513000715 |
Provider Name | Kathleen Simonaitis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477119006 PECOS PAC ID: 7416290887 Enrollment ID: I20190529000322 |
Provider Name | Jocelyn Arackal |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861044588 PECOS PAC ID: 1355671561 Enrollment ID: I20191001000314 |
Provider Name | Malgorzata Zagrodny |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073175741 PECOS PAC ID: 1658602503 Enrollment ID: I20191008002564 |
Provider Name | Judith Mongoum Pene |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134767759 PECOS PAC ID: 0547695736 Enrollment ID: I20200116000626 |
Provider Name | Jillian Knight |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356985329 PECOS PAC ID: 6204257231 Enrollment ID: I20200529002879 |
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 | Catherine V. Espinosa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699386607 PECOS PAC ID: 9739595547 Enrollment ID: I20210302002566 |
Provider Name | Yvonne Batton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912592940 PECOS PAC ID: 3375959711 Enrollment ID: I20210309001919 |
Provider Name | Yanick N Rosier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174162895 PECOS PAC ID: 7517373863 Enrollment ID: I20210310002612 |
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 |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356915599 PECOS PAC ID: 9830595867 Enrollment ID: I20210831000759 |
Provider Name | Tarren Prange |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922573625 PECOS PAC ID: 0345584108 Enrollment ID: I20210923000572 |
Provider Name | Joslyn Christopher |
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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 | Metali K Shah |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689240236 PECOS PAC ID: 1557753217 Enrollment ID: I20220110001898 |
Provider Name | Victoria S Price |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538829981 PECOS PAC ID: 1052705134 Enrollment ID: I20220307001621 |
Provider Name | Courtney Barney |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720736994 PECOS PAC ID: 5597152256 Enrollment ID: I20220427001323 |
Provider Name | Cassidy C Anderson |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871867101 PECOS PAC ID: 3779961446 Enrollment ID: I20220608002367 |
Provider Name | Jessica Timmins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538812490 PECOS PAC ID: 5991183519 Enrollment ID: I20220609000996 |
Provider Name | Josina Thompson |
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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 | Sheena Ching-larson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104358381 PECOS PAC ID: 1759668247 Enrollment ID: I20220922001005 |
Provider Name | April Griffin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760051205 PECOS PAC ID: 5890191951 Enrollment ID: I20221012002270 |
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 | 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 | Cassie Gillespie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922725381 PECOS PAC ID: 0840661823 Enrollment ID: I20230131000323 |
Provider Name | Susan Fuerst |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518333251 PECOS PAC ID: 3072820133 Enrollment ID: I20230210001178 |
Provider Name | Sharon Ross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942526736 PECOS PAC ID: 9638202377 Enrollment ID: I20230221000403 |
Provider Name | Mary E Franke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376144725 PECOS PAC ID: 6002286952 Enrollment ID: I20230224000620 |
Provider Name | Krista Keeler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376080390 PECOS PAC ID: 8527343540 Enrollment ID: I20230313001536 |
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 |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609573336 PECOS PAC ID: 7719342179 Enrollment ID: I20230508002737 |
Provider Name | Michelle C Tan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952963498 PECOS PAC ID: 6800271636 Enrollment ID: I20230512000505 |
Provider Name | Melissa Gonzalez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518667195 PECOS PAC ID: 3274999479 Enrollment ID: I20230512002075 |
Provider Name | Bethany Mistone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477094936 PECOS PAC ID: 1658657317 Enrollment ID: I20230523003355 |
Provider Name | Keona Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033647144 PECOS PAC ID: 8527326982 Enrollment ID: I20230523003402 |
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 |
Provider Name | Kirstyn Flint |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982358057 PECOS PAC ID: 6709271406 Enrollment ID: I20240610001739 |
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