Audrey Cofie, | |
8601 S Parnell Ave, Chicago, IL 60620-2107 | |
(312) 752-0648 | |
Not Available |
Full Name | Audrey Cofie |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 8601 S Parnell Ave, Chicago, 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 |
---|---|---|---|
1477227718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209023261 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest Medical Group Ltd | 1153585658 | 5 |
Entity Name | Chandra Diagnostic Cardiology Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336162783 PECOS PAC ID: 4082509252 Enrollment ID: O20040217000499 |
Entity Name | Southwest Medical Group Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306114426 PECOS PAC ID: 1153585658 Enrollment ID: O20120613000579 |
Mailing Address | Practice Location Address |
---|---|
Audrey Cofie, 8601 S Parnell Ave, Chicago, IL 60620-2107 Ph: (312) 752-0648 | Audrey Cofie, 8601 S Parnell Ave, Chicago, IL 60620-2107 Ph: (312) 752-0648 |
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