Mrs Jennifer Lynn Dole, APRN, CCNS-BC | |
500 N Wall St Ste C100, Kankakee, IL 60901-2942 | |
(815) 933-4400 | |
(815) 933-9646 |
Full Name | Mrs Jennifer Lynn Dole |
---|---|
Gender | Female |
Speciality | Certified Clinical Nurse Specialist (cns) |
Experience | 14 Years |
Location | 500 N Wall St Ste C100, Kankakee, 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 |
---|---|---|---|
1376892398 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SC0200X | Clinical Nurse Specialist - Critical Care Medicine | 209.009944 (Illinois) | Primary |
163W00000X | Registered Nurse | 041.348114 (Illinois) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside Medical Center | Kankakee, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cardiothoracic And Vascular Surgical Associates S C | 7214916402 | 37 |
Entity Name | Riverside Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780 |
Entity Name | Cardiothoracic & Vascular Surgical Associates S C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780679407 PECOS PAC ID: 7214916402 Enrollment ID: O20040720000816 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jennifer Lynn Dole, APRN, CCNS-BC 500 N Wall St Ste C100, Kankakee, IL 60901-2942 Ph: (815) 933-4400 | Mrs Jennifer Lynn Dole, APRN, CCNS-BC 500 N Wall St Ste C100, Kankakee, IL 60901-2942 Ph: (815) 933-4400 |
Ms. Susan M. Giacchino, APN Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 555 W Court St, Suite 108, Kankakee, IL 60901 Phone: 815-937-2015 | |
Mrs. Ashley M Chappell, ACNS-BC Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1601 Butterfield Trl, Kankakee, IL 60901 Phone: 815-936-6500 Fax: 815-936-6502 | |
Elaine Marie Papineau, APN CNS Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 401 N Wall St Ste 206, Kankakee, IL 60901 Phone: 815-935-7260 Fax: 815-936-7378 | |
Mrs. Margaret Ann Ondrey, RN, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 500 W Court Street, Provena St. Mary's Hospital, Kankakee, IL 60901 Phone: 815-936-5151 |