Dianna J Mcbride, FNP | |
1645 Cottage Grove Ave, Cottage Grove Health Center, Ford Heights, IL 60411-3818 | |
(708) 753-5846 | |
(708) 753-5042 |
Full Name | Dianna J Mcbride |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1645 Cottage Grove Ave, Ford Heights, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235190059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209-004697 (Illinois) | Primary |
Entity Name | Cook County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
Mailing Address | Practice Location Address |
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Dianna J Mcbride, FNP 2020 W Harrison St, Chicago, IL 60612-3741 Ph: (312) 572-4503 | Dianna J Mcbride, FNP 1645 Cottage Grove Ave, Cottage Grove Health Center, Ford Heights, IL 60411-3818 Ph: (708) 753-5846 |
Mrs. Josephine Nwawueze, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1645 Cottage Grove Ave, Ford Heights, IL 60411 Phone: 708-753-5800 Fax: 708-753-5910 | |
Clara Marion Larkin, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1645 Cottage Grove Ave, Ford Heights, IL 60411 Phone: 708-753-5800 |