Glenn Agape Edillor Montero, MSN, ARN, PMHNP-BC | |
1603 Orrington Avenue, Suite 810, Evanston, IL 60201 | |
(888) 279-0002 | |
Not Available |
Full Name | Glenn Agape Edillor Montero |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 1603 Orrington Avenue, Evanston, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1124805189 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 2023062070 (Missouri) | Primary |
Entity Name | Bespoke Psychiatry |
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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 |
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Glenn Agape Edillor Montero, MSN, ARN, PMHNP-BC 399 Autumn Creek Dr Apt M, Manchester, MO 63088-2408 Ph: (815) 919-0054 | Glenn Agape Edillor Montero, MSN, ARN, PMHNP-BC 1603 Orrington Avenue, Suite 810, Evanston, IL 60201 Ph: (888) 279-0002 |
Marlene Angelico, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Emergency Medicine, Rm G903c, Evanston, IL 60201 Phone: 847-570-1355 Fax: 847-570-1223 | |
Emily Pableo Pinol, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-982-3811 | |
Reba Elizabeth Mathew, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Asbury Ave # 316-3320, Evanston, IL 60202 Phone: 847-316-3320 | |
Mrs. Monika Marrero, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-425-6400 | |
Holly Rene, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-1027 | |
Manijeh Ghafouri, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Central St, Evanston, IL 60201 Phone: 847-869-3800 | |
Regina Munoz, APN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Central St Ste 610, Evanston, IL 60201 Phone: 847-570-1029 Fax: 847-733-5318 |