Denise Rena Wilson, APN | |
15929 S Bell Rd, Homer Glen, IL 60491-6707 | |
(708) 745-5600 | |
(815) 300-3778 |
Full Name | Denise Rena Wilson |
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Gender | Female |
Speciality | Clinical Nurse Specialist - Adult Health |
Location | 15929 S Bell Rd, Homer Glen, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346674579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SA2200X | Clinical Nurse Specialist - Adult Health | 277000402 (Illinois) | Primary |
Entity Name | Md @ Home Illinois, Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568758415 PECOS PAC ID: 7810167830 Enrollment ID: O20110831000340 |
Mailing Address | Practice Location Address |
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Denise Rena Wilson, APN 15929 S Bell Rd, Homer Glen, IL 60491-6707 Ph: (708) 745-5600 | Denise Rena Wilson, APN 15929 S Bell Rd, Homer Glen, IL 60491-6707 Ph: (708) 745-5600 |
Ms. Jacqueline Ann Rohaly-davis, MS, APRN, AOCN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 15750 Marian Dr, Homer Glen, IL 60491 Phone: 708-645-3512 Fax: 708-645-3423 | |
June Smalec, ACNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 15929 S Bell Rd, Homer Glen, IL 60491 Phone: 708-745-5600 Fax: 815-300-3778 |