Lori Wysong, CPNP-PC | |
3010 Grand Ave, Waukegan, IL 60085-2321 | |
(847) 377-8000 | |
Not Available |
Full Name | Lori Wysong |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 3010 Grand Ave, Waukegan, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881046324 | NPI | - | NPPES |
1881046324 | Medicaid | WI | |
1881046324 | Medicaid | IL |
Entity Name | The Medical College Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Entity Name | Kenosha Community Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265435960 PECOS PAC ID: 0941195168 Enrollment ID: O20040217000840 |
Mailing Address | Practice Location Address |
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Lori Wysong, CPNP-PC 3010 Grand Ave, Waukegan, IL 60085-2321 Ph: (847) 377-8000 | Lori Wysong, CPNP-PC 3010 Grand Ave, Waukegan, IL 60085-2321 Ph: (847) 377-8000 |
Wendy Jahayra Miralda, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8296 | |
Mercedes Rebeca Jasso, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 Belvidere Rd, Waukegan, IL 60085 Phone: 847-377-8800 | |
Ms. Amy Ruth Morton-miller, PHD, RN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8808 | |
Rochelle A Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3210 Grand Ave, Waukegan, IL 60085 Phone: 847-440-7339 | |
Samantha Williams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1324 N Sheridan Rd, Waukegan, IL 60085 Phone: 847-360-3000 | |
Mrs. Antoinette Green, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1324 N Sheridan Rd, Waukegan, IL 60085 Phone: 847-360-4303 Fax: 847-596-4506 | |
Dominika Kowalski, PNP, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 Belvidere Rd, Waukegan, IL 60085 Phone: 847-377-8400 |