Laura Minarich, | |
28201 Diehl Rd, Warrenville, IL 60555-3934 | |
(360) 657-5555 | |
Not Available |
Full Name | Laura Minarich |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 28201 Diehl Rd, Warrenville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063884344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | F1015361 (Illinois) | Primary |
Entity Name | Glc Wellness Center Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508414723 PECOS PAC ID: 6305269903 Enrollment ID: O20200714002787 |
Mailing Address | Practice Location Address |
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Laura Minarich, 28201 Diehl Rd, Warrenville, IL 60555-3934 Ph: () - | Laura Minarich, 28201 Diehl Rd, Warrenville, IL 60555-3934 Ph: (360) 657-5555 |
Carlene Porter, APN. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 630-352-5300 Fax: 630-352-5499 | |
Carrie A Feid, APN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 630-352-5450 Fax: 630-352-5320 | |
Mrs. Erica Souders, FNP-BC, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 28201 Diehl Rd, Warrenville, IL 60555 Phone: 708-427-5765 | |
Mr. Robert Dennis Stalley, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 630-938-8850 Fax: 630-938-8849 | |
Mary Kay Larson, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 630-352-5450 Fax: 630-352-5499 | |
Jacqueline Rose Schmidt, MSN, APN, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 630-352-5450 Fax: 630-352-5499 |