Ekalak Yodchai, | |
850 W Irving Park Rd, Chicago, IL 60613-3077 | |
(773) 525-6780 | |
Not Available |
Full Name | Ekalak Yodchai |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 850 W Irving Park Rd, Chicago, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609395383 | NPI | - | NPPES |
2017008252 | Other | IL | ANCC CERTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 041.386529 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 209.016427 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Bespoke Psychiatry | 3274951744 | 31 |
Entity Name | The University Of Chicago Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031113000198 |
Entity Name | Work & Pillay Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013551472 PECOS PAC ID: 7012333404 Enrollment ID: O20200817000447 |
Entity Name | Bespoke Psychiatry |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952937104 PECOS PAC ID: 3274951744 Enrollment ID: O20200915002352 |
Mailing Address | Practice Location Address |
---|---|
Ekalak Yodchai, 1598 Baytree Dr, Romeoville, IL 60446-4983 Ph: (773) 710-5565 | Ekalak Yodchai, 850 W Irving Park Rd, Chicago, IL 60613-3077 Ph: (773) 525-6780 |
Mr. Gerald M. Bedore, APN/CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 S Wolcott Ave Rm E-144, Chicago, IL 60612 Phone: 312-996-7420 Fax: 312-413-8485 | |
Stacy Ervin, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 N Michigan Ave, Chicago, IL 60611 Phone: 866-825-3227 | |
Angela Obondo Peterson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St Fl 17, Chicago, IL 60611 Phone: 312-926-6000 Fax: 312-926-0516 | |
Katherine Cappitelli, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St Ste 2125, Chicago, IL 60611 Phone: 312-472-4218 | |
Juliet Ibanez Panambo Kantoff, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Michigan Ave Ste 1200, Chicago, IL 60611 Phone: 312-635-0973 | |
Catherine L Chung, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2142 S Archer Ave, Chicago, IL 60616 Phone: 312-326-1408 | |
Tricia Muir, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 850 W Irving Park Rd, Chicago, IL 60613 Phone: 773-525-6780 |