Ila Mae Minnick, is a
Registered Nurse - Administrator based in Caledonia, Illinois. Ila Mae Minnick is licensed to practice in Illinois (license number ) and her current practice location is
7604 Bridlewood Rd, Caledonia, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 885-1195.
NPI number for Ila Mae Minnick is 1134240989 and her current mailing address is 7604 Bridlewood Rd, Caledonia, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134240989.
Provider's Profile
Full Name | Ila Mae Minnick |
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Gender | Female |
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Speciality | Registered Nurse - Administrator |
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Location | 7604 Bridlewood Rd, Caledonia, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134240989
- Provider Enumeration Date: 04/02/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ila Mae Minnick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134240989 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WA2000X | Registered Nurse - Administrator | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ila Mae Minnick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ila Mae Minnick, 7604 Bridlewood Rd, Caledonia, IL 61011-9013 Ph: (815) 885-1195 | Ila Mae Minnick, 7604 Bridlewood Rd, Caledonia, IL 61011-9013 Ph: (815) 885-1195 |
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