| Julia Mccann-khludenev, DNP, FNP-BC | |
|
153 1/2 Broadway Ave., Melrose Park, IL 60160 | |
| (708) 345-8965 | |
| Not Available |
| Full Name | Julia Mccann-khludenev |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 153 1/2 Broadway Ave., Melrose 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 |
|---|---|---|---|
| 1780195701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 71007559A (Indiana) | Primary |
| Entity Name | Broadway Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760429609 PECOS PAC ID: 5395749733 Enrollment ID: O20060828000090 |
| Entity Name | Broadway Medical Clinic Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609207661 PECOS PAC ID: 0042433203 Enrollment ID: O20140516000419 |
| Entity Name | Integra Healthcare Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083000350 PECOS PAC ID: 0042539173 Enrollment ID: O20150512000922 |
| Entity Name | Broadway Medical Care Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710512165 PECOS PAC ID: 8224466313 Enrollment ID: O20200324002290 |
| Mailing Address | Practice Location Address |
|---|---|
| Julia Mccann-khludenev, DNP, FNP-BC 153 1/2 Broadway Ave, Melrose Park, IL 60160 Ph: (708) 345-8965 | Julia Mccann-khludenev, DNP, FNP-BC 153 1/2 Broadway Ave., Melrose Park, IL 60160 Ph: (708) 345-8965 |
Mrs. Elisabeth Janette Miwa, MSN, APRN, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 719 W North Ave, Melrose Park, IL 60160 Phone: 888-584-7888 | |
Fabiola Adriana Nava-lopez, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Kimberly Nicole Stanford, CRNA Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 W North Ave, Anesthesia Department, Melrose Park, IL 60160 Phone: 708-681-7859 | |
Olukemi Aina, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-410-0615 | |
Sarena Richardson, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 153 1/2 Broadway St, Melrose Park, IL 60160 Phone: 708-345-8960 | |
Emily Casselbury, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 Superior St, Suite 104, Melrose Park, IL 60160 Phone: 708-486-2700 Fax: 708-486-2702 | |
Michelle Garrett, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 Superior St, Suite 104, Melrose Park, IL 60160 Phone: 708-486-2700 |