Lemmy Egharevba, | |
9 Sparrow Rd, Carpentersville, IL 60110-2256 | |
(708) 785-2461 | |
Not Available |
Full Name | Lemmy Egharevba |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 9 Sparrow Rd, Carpentersville, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154168391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209029810 (Illinois) | Primary |
Entity Name | Aleksandr Dekhtyar Md Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801091582 PECOS PAC ID: 6406957919 Enrollment ID: O20070727000746 |
Mailing Address | Practice Location Address |
---|---|
Lemmy Egharevba, 9 Sparrow Rd, Carpentersville, IL 60110-2256 Ph: (708) 785-2461 | Lemmy Egharevba, 9 Sparrow Rd, Carpentersville, IL 60110-2256 Ph: (708) 785-2461 |
Angelica Soto, MSN,APRN,PMHNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5403 Cleary Ct, Carpentersville, IL 60110 Phone: 224-856-9157 | |
Catherine I Nnodi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2839 Forestview Dr, Carpentersville, IL 60110 Phone: 815-814-3393 | |
Zainab Chemisto, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6530 Marble Ln, Carpentersville, IL 60110 Phone: 847-275-4060 | |
Christy O Egharevba, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9 Sparrow Rd, Carpentersville, IL 60110 Phone: 708-743-2062 |