Mary E Gibson, APN | |
4749 Lincoln Mall Dr Ste 204, Matteson, IL 60443-3806 | |
(708) 481-4200 | |
(708) 481-3320 |
Full Name | Mary E Gibson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 4749 Lincoln Mall Dr Ste 204, Matteson, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699714907 | NPI | - | NPPES |
01619268 | Other | IL | BLUESHIELD NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209-000390 (Illinois) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 209-000390 (Illinois) | Primary |
Entity Name | Sunil K. Shah D.o, S.c |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184633356 PECOS PAC ID: 2163475484 Enrollment ID: O20050228000307 |
Mailing Address | Practice Location Address |
---|---|
Mary E Gibson, APN 7804 W Golf Dr Apt 2b, Palos Heights, IL 60463-3067 Ph: (708) 481-4200 | Mary E Gibson, APN 4749 Lincoln Mall Dr Ste 204, Matteson, IL 60443-3806 Ph: (708) 481-4200 |
Dawyn Marie Jenkins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 402 Town Center Rd, Matteson, IL 60443 Phone: 708-852-5179 Fax: 708-481-2010 | |
Mrs. Ukachi O. Nwankpa, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1013 Warwick Dr, Matteson, IL 60443 Phone: 773-407-7814 Fax: 708-980-2953 | |
Ann M Waldron, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20939 S Cicero Ave, Matteson, IL 60443 Phone: 708-679-2370 | |
Dr. Natalia Marie Sanfratello, DNP, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 402 Town Center Rd, Matteson, IL 60443 Phone: 708-852-5179 | |
Chanel Smith, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 Timberlane Rd, Matteson, IL 60443 Phone: 708-654-8999 | |
Ms. Zenobia Clark, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3442 218th Pl, Matteson, IL 60443 Phone: 708-724-8498 | |
Carmella Jackson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 916 School Ave, Matteson, IL 60443 Phone: 773-941-1587 |