Amanda Grace Vander Wal, APN | |
1441 Branding Ave Ste 310, Downers Grove, IL 60515-5624 | |
(630) 829-1084 | |
(630) 829-1040 |
Full Name | Amanda Grace Vander Wal |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 12 Years |
Location | 1441 Branding Ave Ste 310, Downers Grove, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811249295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2073 (Minnesota) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209.009874 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Allina Health Home Health | Saint paul, MN | Home health agency |
Abbott Northwestern Hospital | Minneapolis, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Allina Health System | 4587573613 | 3101 |
Entity Name | Fairview Health Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
Entity Name | Fairview Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
Entity Name | Allina Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
Entity Name | Fairview Express Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Mailing Address | Practice Location Address |
---|---|
Amanda Grace Vander Wal, APN 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Amanda Grace Vander Wal, APN 1441 Branding Ave Ste 310, Downers Grove, IL 60515-5624 Ph: (630) 829-1084 |
Theresa Dolan, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1441 Branding Ave Ste 310, Downers Grove, IL 60515 Phone: 630-829-1038 Fax: 630-829-1080 | |
Mrs. Tamyra Michelle Janicki, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1315 Butterfield Rd Ste 206, Downers Grove, IL 60515 Phone: 630-317-7690 Fax: 630-317-7894 | |
Mrs. Ebonique Thomson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3005 Highland Pkwy, Downers Grove, IL 60515 Phone: 716-249-1820 | |
Mansi P Patel, ACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1441 Branding Ave, Ste 310, Downers Grove, IL 60515 Phone: 312-609-0300 | |
Ms. Elizabeth Sowa, MSN, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1441 Branding Ave Ste 310, Downers Grove, IL 60515 Phone: 630-829-1084 | |
Letasha Lewis, MSN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 900 Ogden Ave # 335, Downers Grove, IL 60515 Phone: 773-234-0388 Fax: 773-234-0394 | |
Lizeht Monarrez, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1441 Branding Ave Ste 310, Downers Grove, IL 60515 Phone: 630-829-1084 |