| Ma Nora Theresa Ilad, NP | |
|
2501 Chatham Rd Ste N, Springfield, IL 62704-4188 | |
| (630) 632-3317 | |
| Not Available |
| Full Name | Ma Nora Theresa Ilad |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 2501 Chatham Rd Ste N, Springfield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770368516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209.027674 (Illinois) | Primary |
| Entity Name | Post Acute Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730713025 PECOS PAC ID: 5193156115 Enrollment ID: O20240124001161 |
| Mailing Address | Practice Location Address |
|---|---|
| Ma Nora Theresa Ilad, NP 2501 Chatham Rd Ste N, Springfield, IL 62704-4188 Ph: () - | Ma Nora Theresa Ilad, NP 2501 Chatham Rd Ste N, Springfield, IL 62704-4188 Ph: (630) 632-3317 |
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