Kathleen Masella, RN, AGNP-C | |
1101 S State St, 603, Chicago, IL 60605-3175 | |
(773) 230-8726 | |
(224) 610-7096 |
Full Name | Kathleen Masella |
---|---|
Gender | Female |
Speciality | Registered Nurse - General Practice |
Location | 1101 S State St, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043752918 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WG0000X | Registered Nurse - General Practice | 209.015111 (Illinois) | Primary |
Entity Name | Howard Brown Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306048632 PECOS PAC ID: 1052203155 Enrollment ID: O20040325000526 |
Entity Name | Head & Neck Cosmetic Surgery Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558330811 PECOS PAC ID: 2264476118 Enrollment ID: O20050613000607 |
Entity Name | Gottlieb Community Health Services Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013415603 PECOS PAC ID: 3375442999 Enrollment ID: O20180420000980 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Masella, RN, AGNP-C 1101 S State St, 603, Chicago, IL 60605-3175 Ph: (773) 230-8726 | Kathleen Masella, RN, AGNP-C 1101 S State St, 603, Chicago, IL 60605-3175 Ph: (773) 230-8726 |
Jessica Lauren Offenbach, APN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 312-227-4000 | |
Ms. Jenny Ko Lee, APN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 847-962-6268 | |
Ms. Nedra Goldman, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2620 E 92nd St, Chicago, IL 60617 Phone: 773-984-1384 | |
Phyllis Sasu, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 525 E 46th Pl, Chicago, IL 60653 Phone: 773-507-8609 Fax: 773-507-8609 | |
Lakesha Ealom, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2825 S Halsted St, Suite 311, Chicago, IL 60608 Phone: 708-394-3120 | |
Quatanya Seals, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9931 S Crandon Ave, Chicago, IL 60617 Phone: 773-892-5566 | |
Katherine Ann Sullivan, APRN, FNP-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8501 W Higgins Rd Ste 601, Chicago, IL 60631 Phone: 773-644-5535 Fax: 773-644-5582 |