Ana Monica Mirica, | |
6319 Fairview Ave Ste 102, Westmont, IL 60559-2889 | |
(630) 755-5265 | |
Not Available |
Full Name | Ana Monica Mirica |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 6319 Fairview Ave Ste 102, Westmont, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1346507803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 277001688 (Illinois) | Primary |
Entity Name | Rockford Psychiatric Medical Services Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821391442 PECOS PAC ID: 6901089515 Enrollment ID: O20110318000777 |
Mailing Address | Practice Location Address |
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Ana Monica Mirica, 400 N Highland Ave, Aurora, IL 60506-3814 Ph: () - | Ana Monica Mirica, 6319 Fairview Ave Ste 102, Westmont, IL 60559-2889 Ph: (630) 755-5265 |
Marijo Letizia, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 512 E Ogden Ave, Westmont, IL 60559 Phone: 630-323-4400 | |
Melody Aspinwall, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 512 E Ogden Ave, Heartland Care Partners / Mchs Westmont, Westmont, IL 60559 Phone: 800-375-5495 Fax: 800-564-5952 | |
Heather Miller, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 E Oakhill Dr Ste 100, Westmont, IL 60559 Phone: 630-672-4266 | |
Evelyn J Kammin, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 E Ogden Ave, Suite 202, Westmont, IL 60559 Phone: 630-789-9785 Fax: 630-789-9798 | |
Miss Katherine Balos Maslar, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Executive Dr, Westmont, IL 60559 Phone: 630-323-0119 | |
Michael Dean Ahart, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 E Ogden Ave Ste 202, Westmont, IL 60559 Phone: 630-789-9785 Fax: 630-789-9798 |