Licette Priscilla Cuautle, | |
1508 Essington Rd Ste 5, Joliet, IL 60435-2875 | |
(815) 733-5952 | |
(888) 550-5352 |
Full Name | Licette Priscilla Cuautle |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1508 Essington Rd Ste 5, Joliet, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871377713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.026373 (Illinois) | Primary |
Entity Name | E Mediate Cure Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780051466 PECOS PAC ID: 4587974332 Enrollment ID: O20151105002342 |
Entity Name | Rejuveinate Of Illinois Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942908694 PECOS PAC ID: 5193184430 Enrollment ID: O20230705003513 |
Mailing Address | Practice Location Address |
---|---|
Licette Priscilla Cuautle, 1508 Essington Rd Ste 5, Joliet, IL 60435-2875 Ph: (815) 733-5952 | Licette Priscilla Cuautle, 1508 Essington Rd Ste 5, Joliet, IL 60435-2875 Ph: (815) 733-5952 |
Tasha Dawn Horsley, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1541 Riverboat Center Dr, Joliet, IL 60431 Phone: 815-409-4930 Fax: 815-741-3263 | |
Sherri L Albert, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 Glenwood Ave, Joliet, IL 60435 Phone: 815-999-3201 Fax: 815-741-6293 | |
Mrs. Theresa Donley, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Black Rd, Joliet, IL 60435 Phone: 815-823-8164 | |
Dolly Osas Agba, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1106 Neal Ave, Joliet, IL 60433 Phone: 815-727-8670 Fax: 815-740-8149 | |
Danielle Marie Ratazak, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2025 S Chicago St, Joliet, IL 60436 Phone: 815-634-0100 | |
Stacey Rogers, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2319 Manhattan Rd, Joliet, IL 60433 Phone: 708-223-2698 | |
Maureen Ann Gorszczyk, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 Water Stone Cir, Joliet, IL 60431 Phone: 815-740-4104 |