Leah Gravesen, | |
311 S Otter Creek Rd, Streator, IL 61364-3117 | |
(815) 257-5324 | |
Not Available |
Full Name | Leah Gravesen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 311 S Otter Creek Rd, Streator, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477191336 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209020593 (Illinois) | Primary |
Entity Name | Chicago Rehabilitation Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437600632 PECOS PAC ID: 9335423490 Enrollment ID: O20170309000884 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190507001451 |
Entity Name | Applebaum Physiatry Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700598059 PECOS PAC ID: 8729453436 Enrollment ID: O20230412000147 |
Mailing Address | Practice Location Address |
---|---|
Leah Gravesen, 106 Karen Dr, Dwight, IL 60420-1600 Ph: (815) 257-5324 | Leah Gravesen, 311 S Otter Creek Rd, Streator, IL 61364-3117 Ph: (815) 257-5324 |
Patricia A Hess, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 E Elm St, Streator, IL 61364 Phone: 815-672-4587 Fax: 815-673-3582 | |
Ms. Patricia A Duffield, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 S Bloomington St, Streator, IL 61364 Phone: 815-673-2441 Fax: 815-672-2178 | |
Arika C Safranski, APN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Spring St, Streator, IL 61364 Phone: 815-672-4587 Fax: 815-673-3582 | |
Jeanette T Mosley, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Spring St, Streator, IL 61364 Phone: 815-672-4587 Fax: 815-673-3582 | |
Rebecca Sedlock, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 111 Spring St, Streator, IL 61364 Phone: 815-672-4587 | |
Mrs. Jessica L Hartman, APN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2377 N Bloomington St, Streator, IL 61364 Phone: 815-673-2441 Fax: 815-672-2178 |