John Raju, | |
7460 170th Pl, Tinley Park, IL 60477-4760 | |
(708) 781-3500 | |
Not Available |
Full Name | John Raju |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 7460 170th Pl, Tinley Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013621283 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209026695 (Illinois) | Primary |
Entity Name | Paragon Clinical Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114139946 PECOS PAC ID: 7214034925 Enrollment ID: O20070515000051 |
Entity Name | Livestrong Therapy Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376178962 PECOS PAC ID: 5890124002 Enrollment ID: O20200408003254 |
Mailing Address | Practice Location Address |
---|---|
John Raju, 7460 170th Pl, Tinley Park, IL 60477-4760 Ph: (708) 781-3500 | John Raju, 7460 170th Pl, Tinley Park, IL 60477-4760 Ph: (708) 781-3500 |
Wendy A Siegert, RN, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7003 Irene Courtyard, Tinley Park, IL 60477 Phone: 708-738-5073 | |
Kaley Albrecht, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16650 Harlem Ave Ste 6, Tinley Park, IL 60477 Phone: 708-231-1384 | |
Marjorie Craig, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16650 Harlem Ave Ste 1, Tinley Park, IL 60477 Phone: 708-444-1512 | |
Jennifer Teruko Vermette, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8505 183rd St Ste A, Tinley Park, IL 60487 Phone: 815-824-4406 | |
Cynthia Ann Oneill, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6850 Centennial Dr, Tinley Park, IL 60477 Phone: 708-429-3455 Fax: 708-429-3422 | |
Donna Boettge, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17859 80th Ave, Tinley Park, IL 60477 Phone: 888-938-3838 Fax: 888-919-1083 |