Mathew Douglas Blount, FNP-C | |
10350 Haligus Rd Ste A, Huntley, IL 60142-9545 | |
(815) 338-6600 | |
(847) 802-7162 |
Full Name | Mathew Douglas Blount |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 10350 Haligus Rd Ste A, Huntley, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487303491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 13276-33 (Wisconsin) | Secondary |
363L00000X | Nurse Practitioner | 209026550 (Illinois) | Primary |
Entity Name | Northwestern Medical Faculty Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Mailing Address | Practice Location Address |
---|---|
Mathew Douglas Blount, FNP-C 10350 Haligus Rd Ste A, Huntley, IL 60142-9545 Ph: (815) 338-6600 | Mathew Douglas Blount, FNP-C 10350 Haligus Rd Ste A, Huntley, IL 60142-9545 Ph: (815) 338-6600 |
Theresa Simandl, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10350 Haligus Rd Ste A, Huntley, IL 60142 Phone: 847-802-7500 Fax: 847-802-7162 | |
Ms. Kathryn R Pennell, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10350 Haligus Rd Ste 200d, Huntley, IL 60142 Phone: 847-802-7280 Fax: 847-802-7275 | |
Rebecca J Baker, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10350 Haligus Rd, Huntley, IL 60142 Phone: 815-338-6600 Fax: 847-802-7112 | |
Pinki Patel, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10350 Haligus Rd Ste A, Huntley, IL 60142 Phone: 815-338-6600 Fax: 847-802-7162 | |
Jill Marie Behm, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10350 Haligus Rd Ste 120, Huntley, IL 60142 Phone: 815-356-2323 Fax: 847-802-7201 | |
Cordelia Tseumah, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9924 Cummings St, Huntley, IL 60142 Phone: 630-915-5779 | |
Matilda Lutaj, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10350 Haligus Rd Ste A, Huntley, IL 60142 Phone: 815-338-6600 Fax: 847-802-7162 |