Melissa Marie Gonzalez, | |
9139 Broadway Ave, Brookfield, IL 60513-1303 | |
(866) 389-2727 | |
Not Available |
Full Name | Melissa Marie Gonzalez |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 9139 Broadway Ave, Brookfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518667195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209026790 (Illinois) | Primary |
Entity Name | Minuteclinic Diagnostic Of Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356485809 PECOS PAC ID: 8729171566 Enrollment ID: O20070910000607 |
Entity Name | Minuteclinic Video Virtual Care North Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518512227 PECOS PAC ID: 1254762297 Enrollment ID: O20200620000026 |
Mailing Address | Practice Location Address |
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Melissa Marie Gonzalez, 7575 Churchill Dr, Hanover Park, IL 60133-2606 Ph: (773) 405-9946 | Melissa Marie Gonzalez, 9139 Broadway Ave, Brookfield, IL 60513-1303 Ph: (866) 389-2727 |
Michael Fressola, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3623 S. Forest Avenue, Brookfield, IL 60513 Phone: 708-485-9219 Fax: 708-485-2300 | |
Kristin D Elatkin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9139 Broadway Ave, Brookfield, IL 60513 Phone: 708-387-9982 | |
Mrs. Romy A Modi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9139 Broadway Ave, Brookfield, IL 60513 Phone: 708-387-9982 | |
Allison N Ramsey, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9139 Broadway Ave, Brookfield, IL 60513 Phone: 708-387-9982 | |
Chennel E Dorneker, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4034 Grove Ave Apt 1, Brookfield, IL 60513 Phone: 630-885-0497 | |
Metali Shah, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9139 Broadway Ave, Brookfield, IL 60513 Phone: 708-387-9982 |