Adrienne L Dudley, | |
3314 S Cicero Ave Unit B, Cicero, IL 60804-4531 | |
(708) 391-3030 | |
Not Available |
Full Name | Adrienne L Dudley |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 3314 S Cicero Ave Unit B, Cicero, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902447667 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209026848 (Illinois) | Primary |
Entity Name | Physician Coverage Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669567806 PECOS PAC ID: 3678536398 Enrollment ID: O20041104000433 |
Entity Name | Molina Care Connections Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20180320001095 |
Mailing Address | Practice Location Address |
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Adrienne L Dudley, 1606 E 50th Pl Apt 3c, Chicago, IL 60615-6130 Ph: () - | Adrienne L Dudley, 3314 S Cicero Ave Unit B, Cicero, IL 60804-4531 Ph: (708) 391-3030 |
Salithia Marsh-garrett, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1611 S Cicero Ave, Cicero, IL 60804 Phone: 708-477-4840 | |
Amanda M Villagomez, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2440 S Laramie Ave Unit 50646, Cicero, IL 60804 Phone: 773-414-6881 | |
Claudelia Cano, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3040 S Cicero Ave, Cicero, IL 60804 Phone: 708-780-9777 Fax: 708-780-9787 | |
Mrs. Sherrilynn Smith, MSN, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3314 S Cicero Ave, Cicero, IL 60804 Phone: 708-391-3030 Fax: 708-656-4204 | |
Silvia Lara, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4747 W Cermak Rd, Cicero, IL 60804 Phone: 708-656-4766 Fax: 708-652-4745 | |
Olivia Rodriguez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4815 W 28th St, Cicero, IL 60804 Phone: 708-623-4862 | |
Mrs. Maureen Frederick, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3266 S 58th Ave, Cicero, IL 60804 Phone: 708-933-3840 |