Jose Eduardo Tirado, AGPCNP-BC is a
Nurse Practitioner - Gerontology based in Clarendon Hills, Illinois. Jose Eduardo Tirado is licensed to practice in Virginia (license number 0024175000) and his current practice location is
224 58th St, Clarendon Hills, Illinois. He can be reached at his office (for appointments etc.) via phone at
(808) 225-4546.
NPI number for Jose Eduardo Tirado is 1023539186 and his current mailing address is 224 58th St, Clarendon Hills, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023539186.
Provider's Profile
Full Name | Jose Eduardo Tirado |
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Gender | Male |
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Speciality | Nurse Practitioner - Gerontology |
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Location | 224 58th St, Clarendon Hills, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023539186
- Provider Enumeration Date: 06/29/2017
- Last Update Date: 06/29/2017
Medical Identifiers
Medical identifiers for Jose Eduardo Tirado such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023539186 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LG0600X | Nurse Practitioner - Gerontology | 0024175000 (Virginia) | 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. Jose Eduardo Tirado 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 |
Jose Eduardo Tirado, AGPCNP-BC 224 58th St, Clarendon Hills, IL 60514-1712 Ph: () - | Jose Eduardo Tirado, AGPCNP-BC 224 58th St, Clarendon Hills, IL 60514-1712 Ph: (808) 225-4546 |
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