Chelsea Lynnea Wichtner, | |
34 E Jones St, Milford, IL 60953-1046 | |
(815) 889-4241 | |
Not Available |
Full Name | Chelsea Lynnea Wichtner |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 34 E Jones St, Milford, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245713064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209018536 (Illinois) | Primary |
163WC0200X | Registered Nurse - Critical Care Medicine | 041.405529 (Illinois) | Secondary |
Entity Name | Iroquois Memorial Hospital And Resident Home |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629003470 PECOS PAC ID: 4385551258 Enrollment ID: O20040517000306 |
Mailing Address | Practice Location Address |
---|---|
Chelsea Lynnea Wichtner, 200 E Fairman Ave, Watseka, IL 60970-1644 Ph: (815) 432-5841 | Chelsea Lynnea Wichtner, 34 E Jones St, Milford, IL 60953-1046 Ph: (815) 889-4241 |
Mrs. Shannon Haggard, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 34 E Jones St, Milford, IL 60953 Phone: 815-889-4241 Fax: 815-889-4252 | |
Mrs. Connie C Langellier, APN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 322 N Chicago St, Hoopeston Community Memorial Hospital Dba Milford Medic, Milford, IL 60953 Phone: 217-283-8540 Fax: 217-283-4062 | |
Susan Ann Hanson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 34 E Jones St, Milford, IL 60953 Phone: 815-889-4241 |