Matt Vatanatunyakum, | |
519 S Roselle Rd, Schaumburg, IL 60193-2925 | |
(847) 985-0600 | |
(847) 985-3786 |
Full Name | Matt Vatanatunyakum |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 519 S Roselle Rd, Schaumburg, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821766221 | NPI | - | NPPES |
209025739 | Other | IL | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209025739 (Illinois) | Primary |
Entity Name | The Board Of Trustees Of The University Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Entity Name | Northwest Community Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134433154 PECOS PAC ID: 3375737331 Enrollment ID: O20101103000837 |
Mailing Address | Practice Location Address |
---|---|
Matt Vatanatunyakum, 519 S Roselle Rd, Schaumburg, IL 60193-2925 Ph: (847) 985-0600 | Matt Vatanatunyakum, 519 S Roselle Rd, Schaumburg, IL 60193-2925 Ph: (847) 985-0600 |
Gay Bautista, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 921 N Plum Grove Rd, Schaumburg, IL 60173 Phone: 847-359-3400 Fax: 847-358-2770 | |
Julie A. Gebhardt, APN-CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 519 S. Roselle Rd., 2nd Floor-pulmanary, Schaumburg, IL 60193 Phone: 847-618-4380 Fax: 847-618-0220 | |
Siyu Gao, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 N Roselle Rd Ste 800, Schaumburg, IL 60195 Phone: 443-383-9300 | |
Ashley Melvin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 N Roselle Rd, Schaumburg, IL 60195 Phone: 443-383-9300 | |
Lisa K Siby, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1355 Remington Rd, Suite H, Schaumburg, IL 60173 Phone: 630-701-9009 | |
Tejal B Patel, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1927 Farnham Ct, Schaumburg, IL 60194 Phone: 224-231-7746 | |
Shalom Adenekan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 675 S Roselle Road, Schaumburg, IL 60193 Phone: 773-886-4771 |