Kim Mccoy, | |
1111 Superior St, Suite 101, Melrose Park, IL 60160-4138 | |
(708) 406-3040 | |
(708) 406-3059 |
Full Name | Kim Mccoy |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 1111 Superior St, Melrose Park, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568858223 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209012750 (Illinois) | Primary |
163W00000X | Registered Nurse | 041321035 (Illinois) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Uhs Of Hartgrove, Inc | 3173611738 | 13 |
Entity Name | Pcc Community Wellness Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871516799 PECOS PAC ID: 1557270139 Enrollment ID: O20040206000415 |
Entity Name | Sudhir M Gokhale Mdsc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003961343 PECOS PAC ID: 7517923246 Enrollment ID: O20041206000029 |
Entity Name | Uhs Of Hartgrove, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396012951 PECOS PAC ID: 3173611738 Enrollment ID: O20120817000145 |
Mailing Address | Practice Location Address |
---|---|
Kim Mccoy, 1111 Superior St, Suite 101, Melrose Park, IL 60160-4138 Ph: (708) 406-3040 | Kim Mccoy, 1111 Superior St, Suite 101, Melrose Park, IL 60160-4138 Ph: (708) 406-3040 |
Priyaben N Patel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3006 Pearl Ave, Melrose Park, IL 60164 Phone: 630-518-5610 | |
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: Not Enrolled in Medicare 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 |