Edith Jenkins, | |
1515 Forest Ave, Calumet City, IL 60409-6218 | |
(708) 743-0365 | |
(708) 432-6699 |
Full Name | Edith Jenkins |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 1515 Forest Ave, Calumet City, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982142527 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 71007161A (Indiana) | Primary |
363LF0000X | Nurse Practitioner - Family | F01171312 (Illinois) | Secondary |
Entity Name | Vpa Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366768160 PECOS PAC ID: 9234041948 Enrollment ID: O20090318000016 |
Entity Name | Edgewater Systems For Balanced Living Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588705784 PECOS PAC ID: 9234398397 Enrollment ID: O20120308000405 |
Entity Name | Housecall Doctors. P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396050142 PECOS PAC ID: 8022292861 Enrollment ID: O20140318001256 |
Entity Name | Informe Healthcare In, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992276638 PECOS PAC ID: 9537407770 Enrollment ID: O20190213000486 |
Entity Name | Informe Hc Specialists, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255917647 PECOS PAC ID: 5698184885 Enrollment ID: O20210428002612 |
Mailing Address | Practice Location Address |
---|---|
Edith Jenkins, 1515 Forest Ave, Calumet City, IL 60409-6218 Ph: () - | Edith Jenkins, 1515 Forest Ave, Calumet City, IL 60409-6218 Ph: (708) 743-0365 |
Mr. Olumide Samson Fagbemi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1118 Lucas St, Calumet City, IL 60409 Phone: 708-785-2238 | |
Chibuzo Lasisi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 Torrence Ave, Calumet City, IL 60409 Phone: 708-730-1300 | |
Idowu Florence Fapohunda, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Warren St, Calumet City, IL 60409 Phone: 708-439-2145 Fax: 708-360-3238 | |
Janet Biedron, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19 River Oaks Dr, Calumet City, IL 60409 Phone: 708-862-1290 Fax: 708-862-6447 | |
Vicki Bradley, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 522 Torrence Ave, Calumet City, IL 60409 Phone: 708-868-5669 | |
Oludele David Olagoke, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 452 Muskegon Ave, Calumet City, IL 60409 Phone: 312-493-4996 | |
Tenisha Kates, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 435 Calhoun Ave, Calumet City, IL 60409 Phone: 708-368-2180 |