Kamran Khatri, | |
6319 Fairview Ave Ste 101, Westmont, IL 60559-2889 | |
(630) 451-9352 | |
Not Available |
Full Name | Kamran Khatri |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 6319 Fairview Ave Ste 101, Westmont, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821441619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209014492 (Illinois) | Primary |
Entity Name | Physician Care At Home Management Company Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114458791 PECOS PAC ID: 7911274170 Enrollment ID: O20170519000324 |
Entity Name | Marciana Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134719693 PECOS PAC ID: 9739594169 Enrollment ID: O20211022002322 |
Mailing Address | Practice Location Address |
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Kamran Khatri, 710 Rosedale Rd, Glenview, IL 60025-3951 Ph: (847) 932-9558 | Kamran Khatri, 6319 Fairview Ave Ste 101, Westmont, IL 60559-2889 Ph: (630) 451-9352 |
Marijo Letizia, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 512 E Ogden Ave, Westmont, IL 60559 Phone: 630-323-4400 | |
Melody Aspinwall, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 512 E Ogden Ave, Heartland Care Partners / Mchs Westmont, Westmont, IL 60559 Phone: 800-375-5495 Fax: 800-564-5952 | |
Heather Miller, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 E Oakhill Dr Ste 100, Westmont, IL 60559 Phone: 630-672-4266 | |
Evelyn J Kammin, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 E Ogden Ave, Suite 202, Westmont, IL 60559 Phone: 630-789-9785 Fax: 630-789-9798 | |
Miss Katherine Balos Maslar, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1010 Executive Dr, Westmont, IL 60559 Phone: 630-323-0119 | |
Ana Monica Mirica, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6319 Fairview Ave Ste 102, Westmont, IL 60559 Phone: 630-755-5265 | |
Michael Dean Ahart, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 E Ogden Ave Ste 202, Westmont, IL 60559 Phone: 630-789-9785 Fax: 630-789-9798 |