Mary Shiellah Blancaflor James, NP | |
6700 167th St Ste 4, Tinley Park, IL 60477-2078 | |
(708) 429-3700 | |
(708) 429-4460 |
Full Name | Mary Shiellah Blancaflor James |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 6700 167th St Ste 4, Tinley Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639415979 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 28227760A (Indiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | 277.000750 (Illinois) | Primary |
Entity Name | Dupage Medical Group Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20040412001479 |
Entity Name | Asad Zaman Md Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356393557 PECOS PAC ID: 5092744847 Enrollment ID: O20050811000590 |
Entity Name | Express Urgent Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487134961 PECOS PAC ID: 7719237635 Enrollment ID: O20180913001494 |
Mailing Address | Practice Location Address |
---|---|
Mary Shiellah Blancaflor James, NP 17808 S Mccarron Rd, Homer Glen, IL 60491-9776 Ph: (708) 825-7052 | Mary Shiellah Blancaflor James, NP 6700 167th St Ste 4, Tinley Park, IL 60477-2078 Ph: (708) 429-3700 |
John Raju, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7460 170th Pl, Tinley Park, IL 60477 Phone: 708-781-3500 | |
Wendy A Siegert, RN, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7003 Irene Courtyard, Tinley Park, IL 60477 Phone: 708-738-5073 | |
Kaley Albrecht, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16650 Harlem Ave Ste 6, Tinley Park, IL 60477 Phone: 708-231-1384 | |
Marjorie Craig, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16650 Harlem Ave Ste 1, Tinley Park, IL 60477 Phone: 708-444-1512 | |
Jennifer Teruko Vermette, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8505 183rd St Ste A, Tinley Park, IL 60487 Phone: 815-824-4406 | |
Cynthia Ann Oneill, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6850 Centennial Dr, Tinley Park, IL 60477 Phone: 708-429-3455 Fax: 708-429-3422 | |
Donna Boettge, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17859 80th Ave, Tinley Park, IL 60477 Phone: 888-938-3838 Fax: 888-919-1083 |