Alishia Jacks, | |
3330 Skokie Valley Rd Ste 200, Highland Park, IL 60035-1041 | |
(847) 386-7744 | |
Not Available |
Full Name | Alishia Jacks |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 3330 Skokie Valley Rd Ste 200, Highland Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851179675 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209028406 (Illinois) | Primary |
363LF0000X | Nurse Practitioner - Family | 2023032208 (Missouri) | Secondary |
Entity Name | Post Acute Medical Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730713025 PECOS PAC ID: 5193156115 Enrollment ID: O20240124001161 |
Entity Name | Altea Medical Illinois Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447039227 PECOS PAC ID: 5799129730 Enrollment ID: O20240219001371 |
Mailing Address | Practice Location Address |
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Alishia Jacks, 650 Maryville University Dr, Saint Louis, MO 63141-5849 Ph: () - | Alishia Jacks, 3330 Skokie Valley Rd Ste 200, Highland Park, IL 60035-1041 Ph: (847) 386-7744 |
Emily Ann Loutfy, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1777 Green Bay Rd, Highland Park, IL 60035 Phone: 847-433-3460 | |
Aneta Grzymala, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3330 Skokie Valley Rd, Highland Park, IL 60035 Phone: 847-386-7744 | |
Ms. Margaret Ann Zielinski, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1777 Green Bay Rd, Suite 201, Highland Park, IL 60035 Phone: 847-433-3460 Fax: 847-433-4062 | |
Sarah Hussain, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1539 Clavey Rd, Highland Park, IL 60035 Phone: 847-831-6691 | |
Isabella Pak, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1777 Green Bay Rd Ste 201, Highland Park, IL 60035 Phone: 847-433-3460 | |
Mrs. Jovi-anne C. Myers, APN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 777 Park Ave W, Highland Park, IL 60035 Phone: 847-570-2714 Fax: 847-570-1436 | |
Ana Marie Malunhao, APN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Park Ave. West, Im Hospitalists, Highland Park, IL 60035 Phone: 847-926-5840 Fax: 847-926-5835 |