Anne Marie Horne, FNP-BC | |
14255 Cicero Ave, Crestwood, IL 60418-2154 | |
(708) 371-0400 | |
Not Available |
Full Name | Anne Marie Horne |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 14255 Cicero Ave, Crestwood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558958868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209022031 (Illinois) | Primary |
Entity Name | Vitae Health Of Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
Mailing Address | Practice Location Address |
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Anne Marie Horne, FNP-BC 26001 S Eastgate Ave, Monee, IL 60449-8167 Ph: (815) 735-8610 | Anne Marie Horne, FNP-BC 14255 Cicero Ave, Crestwood, IL 60418-2154 Ph: (708) 371-0400 |
Kristine Asuncion, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13755 Cicero Ave, Crestwood, IL 60418 Phone: 708-385-2400 Fax: 708-385-8130 | |
Anastasia Ruschke, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13448 Cicero Ave, Crestwood, IL 60418 Phone: 708-682-3384 | |
Jeraldene Shaffer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14255 Cicero Ave, Crestwood, IL 60445 Phone: 708-371-0400 Fax: 708-371-5871 |