Mary Rose Mabbagu, | |
9933 Woods Dr, Skokie, IL 60077-1049 | |
(847) 663-8060 | |
Not Available |
Full Name | Mary Rose Mabbagu |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 9933 Woods Dr, Skokie, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790422780 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041444579 (Illinois) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209.026004 (Illinois) | Primary |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Entity Name | Accumed Center Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649655739 PECOS PAC ID: 8729395801 Enrollment ID: O20150922002758 |
Mailing Address | Practice Location Address |
---|---|
Mary Rose Mabbagu, 9933 Woods Dr, Skokie, IL 60077-1049 Ph: (847) 663-8060 | Mary Rose Mabbagu, 9933 Woods Dr, Skokie, IL 60077-1049 Ph: (847) 663-8060 |
Rachel Arpilleda Mordeno, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8338 Central Park Ave, Skokie, IL 60076 Phone: 847-208-7037 | |
Oksana Buryadnyk, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9977 Woods Dr, Skokie, IL 60077 Phone: 847-663-2655 | |
Antoinette V Ahr, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9669 Kenton Ave, Suite 206, Skokie, IL 60076 Phone: 847-676-1333 | |
Maryam Vali, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9735 Skokie Blvd, Skokie, IL 60077 Phone: 847-380-8969 | |
Alina Garaeva, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4959 Golf Rd, Skokie, IL 60077 Phone: 847-239-4892 | |
Kathleen Fisher, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5250 Old Orchard Rd Ste 300, Skokie, IL 60077 Phone: 847-920-0902 | |
Allyson Lucero, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9977 Woods Dr, Skokie, IL 60077 Phone: 224-364-5573 |