Annmary Kachappilly, | |
1045 Victoria Ln, Glendale Heights, IL 60139-4512 | |
(630) 456-0307 | |
Not Available |
Full Name | Annmary Kachappilly |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1045 Victoria Ln, Glendale Heights, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477294809 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LF0000X | Nurse Practitioner - Family | - (Illinois) | Primary |
Entity Name | Swan Primary Care Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376137083 PECOS PAC ID: 1951717016 Enrollment ID: O20210316000294 |
Mailing Address | Practice Location Address |
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Annmary Kachappilly, 303 E Army Trail Rd Ste 131, Bloomingdale, IL 60108-2140 Ph: () - | Annmary Kachappilly, 1045 Victoria Ln, Glendale Heights, IL 60139-4512 Ph: (630) 456-0307 |
Manuela Montoya, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 464 Gregory Ave Apt 1d, Glendale Heights, IL 60139 Phone: 224-717-2918 | |
Jennifer A Nichols, ACNPC-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Winthrop Ave, Glendale Heights, IL 60139 Phone: 630-545-8000 | |
Ma Teresa Datoon Panganiban, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1920 Aspen Ln, Glendale Heights, IL 60139 Phone: 630-965-3354 | |
Ewa Maria Kinser, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 Winthrop Ave, Ambulatory Care, Glendale Heights, IL 60139 Phone: 630-545-4935 Fax: 630-592-2239 |