Mauricio Valencia, | |
850 Busse Hwy, Park Ridge, IL 60068-2302 | |
(847) 759-4770 | |
(847) 759-8824 |
Full Name | Mauricio Valencia |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 850 Busse Hwy, Park Ridge, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134636228 | NPI | - | NPPES |
100170179 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 10933 (Wisconsin) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209.017085 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Lutheran General Hospital | Park ridge, IL | Hospital |
Advocate Good Shepherd Hospital | Barrington, IL | Hospital |
Advocate Illinois Masonic Medical Center | Chicago, IL | Hospital |
Advocate Condell Medical Center | Libertyville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advocate Health And Hospitals Corporation | 7810800935 | 2484 |
Entity Name | Advocate Health And Hospitals Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Entity Name | Patient First Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548258072 PECOS PAC ID: 3274446596 Enrollment ID: O20031111000788 |
Mailing Address | Practice Location Address |
---|---|
Mauricio Valencia, 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Mauricio Valencia, 850 Busse Hwy, Park Ridge, IL 60068-2302 Ph: (847) 759-4770 |
Michal Ora Mendelsberg, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Devon Ave, Park Ridge, IL 60068 Phone: 800-323-8622 Fax: 224-225-0374 | |
Amy Miner, APN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1875 Dempster St, Park Ridge, IL 60068 Phone: 844-725-5238 Fax: 847-723-2791 | |
Oluwatosin Olayeye, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1775 Dempster St Ste Aip, Park Ridge, IL 60068 Phone: 773-895-5075 | |
Marina Makovetskaia, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1775 Dempster St, #936, Park Ridge, IL 60068 Phone: 847-723-8815 | |
Marlene Varnavas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Dempster St Ste 120, Park Ridge, IL 60068 Phone: 847-299-7888 | |
Mrs. Gina Marie Palm, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1675 Dempster St Fl 1, Park Ridge, IL 60068 Phone: 847-318-9300 Fax: 847-723-9583 | |
Cynthia Kane, MS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1875 Dempster St Ste 180, Park Ridge, IL 60068 Phone: 844-725-5238 Fax: 847-723-2791 |