Kelly Tais Azambuja Cachoeira, APRN | |
2151 Waukegan Rd Ste 100, Bannockburn, IL 60015-1885 | |
(847) 444-5300 | |
Not Available |
Full Name | Kelly Tais Azambuja Cachoeira |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 2151 Waukegan Rd Ste 100, Bannockburn, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295599900 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209029354 (Illinois) | Primary |
Mailing Address | Practice Location Address |
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Kelly Tais Azambuja Cachoeira, APRN 2151 Waukegan Rd Ste 100, Bannockburn, IL 60015-1885 Ph: (847) 444-5300 | Kelly Tais Azambuja Cachoeira, APRN 2151 Waukegan Rd Ste 100, Bannockburn, IL 60015-1885 Ph: (847) 444-5300 |
Michelle Galligan, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2151 Waukegan Rd, Bannockburn, IL 60015 Phone: 847-663-8410 | |
Hannah Leavitt, DNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2101 Waukegan Rd Ste 104, Bannockburn, IL 60015 Phone: 847-317-1717 Fax: 847-317-9305 |