Deborah Green, CNM | |
245 S Gary Ave, Lower Level, Bloomingdale, IL 60108-2228 | |
(630) 893-5230 | |
(630) 893-5837 |
Full Name | Deborah Green |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 245 S Gary Ave, Bloomingdale, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407807548 | NPI | - | NPPES |
041-162592 | Other | IL | RN LICENSE |
209-004691 | Other | IL | APN LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041-162592 (Illinois) | Primary |
Entity Name | Access Community Health Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982783692 PECOS PAC ID: 9537076112 Enrollment ID: O20031204000985 |
Mailing Address | Practice Location Address |
---|---|
Deborah Green, CNM 245 S Gary Ave, Lower Level, Bloomingdale, IL 60108-2228 Ph: (630) 893-5230 | Deborah Green, CNM 245 S Gary Ave, Lower Level, Bloomingdale, IL 60108-2228 Ph: (630) 893-5230 |
Michelle Lee Van Ewyk, APRN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 473 W Army Trail Rd Ste 103, Bloomingdale, IL 60108 Phone: 630-529-6969 Fax: 630-529-5993 | |
Kailin Haugh, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 194 Ivy Ln, Bloomingdale, IL 60108 Phone: 224-522-5975 | |
Mrs. Amanda Christine Perrot, APN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 235 S Gary Ave Ste 100, Bloomingdale, IL 60108 Phone: 630-893-9600 | |
Mr. Cesar Agusto Huerta, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 245 S Gary Ave Lowr Level, Bloomingdale, IL 60108 Phone: 630-893-5230 Fax: 630-893-5837 | |
Cynthia Isetts, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 303 E Army Trail Rd Ste 301, Bloomingdale, IL 60108 Phone: 630-893-0347 Fax: 630-893-1467 | |
Debora Fon Wilson, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1 Tiffany Pt, Bloomingdale, IL 60108 Phone: 630-924-1160 |