Chanel Smith, FNP-C | |
205 Timberlane Rd, Matteson, IL 60443-1040 | |
(708) 654-8999 | |
Not Available |
Full Name | Chanel Smith |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 205 Timberlane Rd, Matteson, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245928589 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209-027275 (Illinois) | Primary |
Entity Name | Riverside Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780 |
Entity Name | Hansa Medical Groupe Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386804615 PECOS PAC ID: 5092881417 Enrollment ID: O20080909000726 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Chanel Smith, FNP-C 205 Timberlane Rd, Matteson, IL 60443-1040 Ph: (708) 654-8999 | Chanel Smith, FNP-C 205 Timberlane Rd, Matteson, IL 60443-1040 Ph: (708) 654-8999 |
Dawyn Marie Jenkins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 402 Town Center Rd, Matteson, IL 60443 Phone: 708-852-5179 Fax: 708-481-2010 | |
Mrs. Ukachi O. Nwankpa, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1013 Warwick Dr, Matteson, IL 60443 Phone: 773-407-7814 Fax: 708-980-2953 | |
Ann M Waldron, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20939 S Cicero Ave, Matteson, IL 60443 Phone: 708-679-2370 | |
Dr. Natalia Marie Sanfratello, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 402 Town Center Rd, Matteson, IL 60443 Phone: 708-852-5179 | |
Ms. Zenobia Clark, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3442 218th Pl, Matteson, IL 60443 Phone: 708-724-8498 | |
Carmella Jackson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 916 School Ave, Matteson, IL 60443 Phone: 773-941-1587 |