Betsy Jacob, APN | |
540 N Schmale Rd, Carol Stream, IL 60188 | |
(866) 825-3227 | |
(484) 450-2617 |
Full Name | Betsy Jacob |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 540 N Schmale Rd, Carol Stream, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366630642 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | (Illinois) | Primary |
Entity Name | Paragon Clinical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114139946 PECOS PAC ID: 7214034925 Enrollment ID: O20070515000051 |
Mailing Address | Practice Location Address |
---|---|
Betsy Jacob, APN 161 Washington St Fl 14, Eight Tower Bridge Suite 1400, Conshohocken, PA 19428-2083 Ph: (484) 351-3206 | Betsy Jacob, APN 540 N Schmale Rd, Carol Stream, IL 60188 Ph: (866) 825-3227 |
Ravi Vijay Patel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1384 Lincolnshire Ct, Carol Stream, IL 60188 Phone: 630-666-0713 | |
Jean K Kombwa, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26w212 Geneva Rd, Carol Stream, IL 60188 Phone: 630-510-1065 Fax: 630-389-0023 | |
Mrs. Patricia Jimenez, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 180 Kehoe Blvd, Carol Stream, IL 60188 Phone: 800-761-5856 Fax: 847-698-4486 | |
Ms. Mary K Dahilig, APN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 26w212 Geneva Rd, Carol Stream, IL 60188 Phone: 630-510-1065 | |
Barbara C Kopchak, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 630 E North Ave, Carol Stream, IL 60188 Phone: 630-861-6663 | |
Raleigh Guerrero, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1189 N Gary Ave, Carol Stream, IL 60188 Phone: 630-517-5674 |