| Kandise Rose Marie Mooneyham, | |
|
80 Templeton Dr, Oswego, IL 60543-7000 | |
| (630) 554-3456 | |
| (630) 551-2970 |
| Full Name | Kandise Rose Marie Mooneyham |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 80 Templeton Dr, Oswego, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962181115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209028373 (Illinois) | Primary |
| 163W00000X | Registered Nurse | 041452140 (Illinois) | Secondary |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003542184 PECOS PAC ID: 7810800935 Enrollment ID: O20220930002728 |
| Mailing Address | Practice Location Address |
|---|---|
| Kandise Rose Marie Mooneyham, 28594 Network Pl, Chicago, IL 60673-1285 Ph: (630) 859-6800 | Kandise Rose Marie Mooneyham, 80 Templeton Dr, Oswego, IL 60543-7000 Ph: (630) 554-3456 |
Yonia Roseline Ahyee, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 325 Ash Grove Ln, Oswego, IL 60543 Phone: 708-699-9886 | |
Wendy Greep, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4789 Route 71, Oswego, IL 60543 Phone: 630-692-5730 Fax: 630-692-5731 | |
Vera Z Arnold, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 521 Truman Dr, Oswego, IL 60543 Phone: 630-554-0231 | |
Mrs. Christine Elizabeth Kowalewski, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4789 Route 71, Oswego, IL 60543 Phone: 630-692-5731 Fax: 630-692-5730 | |
Mrs. Nicole Therese Marks, A.P.N., F.N.P-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4789 Route 71, Oswego, IL 60543 Phone: 630-692-5730 Fax: 630-692-5731 | |
Mrs. Virginia Katherine House Hathcock, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4789 Route 71, Oswego, IL 60543 Phone: 630-692-5730 Fax: 630-692-5731 | |
Mrs. Nicole Ann Hohman, APRN, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4789 Route 71, Oswego, IL 60543 Phone: 630-692-5730 |