Brenda Fowler, CNM | |
966 W. 21st Street, Chicago, IL 60608 | |
(773) 254-1400 | |
Not Available |
Full Name | Brenda Fowler |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 966 W. 21st Street, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760927800 | NPI | - | NPPES |
PENDING | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041413998 (Illinois) | Secondary |
367A00000X | Advanced Practice Midwife | 209015043 (Illinois) | Primary |
Entity Name | Erie Family Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689 |
Mailing Address | Practice Location Address |
---|---|
Brenda Fowler, CNM 966 W 21st St, Chicago, IL 60608-4511 Ph: (773) 254-1400 | Brenda Fowler, CNM 966 W. 21st Street, Chicago, IL 60608 Ph: (773) 254-1400 |
Jacqueline S Ma, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 966 W 21st St, Chicago, IL 60608 Phone: 773-254-1400 Fax: 312-829-6375 | |
Tracy A Abraham, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1220 S Wood St, Chicago, IL 60608 Phone: 312-996-2000 Fax: 312-413-2026 | |
Christina Volkening, MSN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2233 W Division St, Chicago, IL 60622 Phone: 312-770-2000 | |
Mallory Marie Klocke, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1117 W Lunt Ave Apt 2a, Chicago, IL 60626 Phone: 712-210-2717 | |
Rebecca Etrenne, APN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 219 W Chicago Ave, Chicago, IL 60654 Phone: 312-878-1945 | |
Ms. Alyssa Suzanne Mull, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1701 W Superior Street, Erie Family Health Center, Chicago, IL 60622 Phone: 312-666-3494 | |
Kamila Stoksik, DNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 250 E Superior St, Chicago, IL 60611 Phone: 312-472-2900 |