Jessica Vodicka, | |
13045 Ravine Dr, Lemont, IL 60439-7331 | |
(630) 233-4738 | |
(630) 566-3897 |
Full Name | Jessica Vodicka |
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Gender | Female |
Speciality | Nurse Practitioner |
Experience | 11 Years |
Location | 13045 Ravine Dr, Lemont, Illinois |
Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073924015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.011388 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 277001756 (Illinois) | Primary |
Entity Name | Vodicka Family Health & Wellness Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912652645 PECOS PAC ID: 1951789965 Enrollment ID: O20220603000582 |
Mailing Address | Practice Location Address |
---|---|
Jessica Vodicka, 13045 Ravine Dr, Lemont, IL 60439-7331 Ph: (630) 233-4738 | Jessica Vodicka, 13045 Ravine Dr, Lemont, IL 60439-7331 Ph: (630) 233-4738 |
Ewa Zofia Ehrlich, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 Timberline Dr, Lemont, IL 60439 Phone: 630-755-0367 | |
Mrs. Melissa Ann Zambon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 334 River St, Lemont, IL 60439 Phone: 630-410-2348 | |
Timothy Nenoff, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15900 W 127th St Ste 221a, Lemont, IL 60439 Phone: 630-708-6202 | |
Clare Shaughnessy, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9700 S Cass Ave, Lemont, IL 60439 Phone: 630-252-2811 | |
Mrs. Michelle Stoklosa, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14244 Mccarthy Rd, Lemont, IL 60439 Phone: 630-754-0141 | |
Mr. Sean J Colwell, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 461 Wexford Dr, Lemont, IL 60439 Phone: 312-388-0675 |