Mariola Traba, APN | |
5545 N Milwaukee Ave, Chicago, IL 60630-1226 | |
(773) 792-8181 | |
Not Available |
Full Name | Mariola Traba |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 5545 N Milwaukee Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164060117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 209.020530 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209.020530 (Illinois) | Primary |
Entity Name | Beata Danek |
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Entity Type | Practitioner - Family Practice |
Entity Identifiers | NPI Number: 1295788875 PECOS PAC ID: 8325181266 Enrollment ID: I20100201000661 |
Entity Name | New You Chicago Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538495593 PECOS PAC ID: 6002297702 Enrollment ID: O20220712004002 |
Mailing Address | Practice Location Address |
---|---|
Mariola Traba, APN 5545 N Milwaukee Ave, Chicago, IL 60630-1226 Ph: (773) 792-8181 | Mariola Traba, APN 5545 N Milwaukee Ave, Chicago, IL 60630-1226 Ph: (773) 792-8181 |
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