Medinat Omobolanle Balogun, NP | |
2848 Mcdonough St, Joliet, IL 60436-1050 | |
(815) 730-4400 | |
Not Available |
Full Name | Medinat Omobolanle Balogun |
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Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 2848 Mcdonough St, Joliet, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1558964239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209022340 (Illinois) | Primary |
Entity Name | Thriveworks Telepsychiatry - Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154099620 PECOS PAC ID: 4587035225 Enrollment ID: O20230117002207 |
Mailing Address | Practice Location Address |
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Medinat Omobolanle Balogun, NP 10010 W 190th Pl, Mokena, IL 60448-8752 Ph: () - | Medinat Omobolanle Balogun, NP 2848 Mcdonough St, Joliet, IL 60436-1050 Ph: (815) 730-4400 |
Tasha Dawn Horsley, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1541 Riverboat Center Dr, Joliet, IL 60431 Phone: 815-409-4930 Fax: 815-741-3263 | |
Sherri L Albert, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 Glenwood Ave, Joliet, IL 60435 Phone: 815-999-3201 Fax: 815-741-6293 | |
Mrs. Theresa Donley, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Black Rd, Joliet, IL 60435 Phone: 815-823-8164 | |
Dolly Osas Agba, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1106 Neal Ave, Joliet, IL 60433 Phone: 815-727-8670 Fax: 815-740-8149 | |
Danielle Marie Ratazak, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2025 S Chicago St, Joliet, IL 60436 Phone: 815-634-0100 | |
Stacey Rogers, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2319 Manhattan Rd, Joliet, IL 60433 Phone: 708-223-2698 | |
Maureen Ann Gorszczyk, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 Water Stone Cir, Joliet, IL 60431 Phone: 815-740-4104 |