Judith A Mcconville, APN/CNP | |
1201 Meriden St, Mendota, IL 61342-2501 | |
(815) 539-3739 | |
(815) 539-3753 |
Full Name | Judith A Mcconville |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1201 Meriden St, Mendota, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922288208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209-006825 (Illinois) | Primary |
Entity Name | Central Dupage Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
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Judith A Mcconville, APN/CNP 1201 Meriden St, Mendota, IL 61342-2501 Ph: (815) 539-3739 | Judith A Mcconville, APN/CNP 1201 Meriden St, Mendota, IL 61342-2501 Ph: (815) 539-3739 |
Jonathan Edwards, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1405 E 12th St, Suite 600, Mendota, IL 61342 Phone: 815-538-7200 Fax: 815-539-1444 | |
Joy Preciado, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1405 E 12th St, Ste 300, Mendota, IL 61342 Phone: 815-539-3141 | |
Sharon Jones Burtlow, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1201 Meriden St, Mendota, IL 61342 Phone: 815-539-3739 Fax: 815-539-3753 | |
Susan J Olsen, APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 537 N 3850th Rd, Mendota, IL 61342 Phone: 815-993-7378 | |
Tracie R Kelly, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1401 E 12th St, Mendota, IL 61342 Phone: 815-539-7461 | |
Marcela Renee Lemus, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1811 Stroble Ave, Mendota, IL 61342 Phone: 407-452-9570 |