Mini Joy Oommen, | |
179 Trumpet Vine Cir, Elgin, IL 60124-8179 | |
(773) 349-0650 | |
Not Available |
Full Name | Mini Joy Oommen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 179 Trumpet Vine Cir, Elgin, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558043521 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209027221 (Illinois) | Primary |
Entity Name | Wellbe Senior Medical Illinois Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306499363 PECOS PAC ID: 4486985199 Enrollment ID: O20191010002358 |
Mailing Address | Practice Location Address |
---|---|
Mini Joy Oommen, 179 Trumpet Vine Cir, Elgin, IL 60124-8179 Ph: (773) 349-0650 | Mini Joy Oommen, 179 Trumpet Vine Cir, Elgin, IL 60124-8179 Ph: (773) 349-0650 |
Shay Lynn Ward, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1752 Capital St, Elgin, IL 60124 Phone: 847-695-3680 Fax: 847-695-4552 | |
Tiffany Robinson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 S Grove Ave Unit 308, Elgin, IL 60120 Phone: 312-581-8000 | |
Jaclyn Mastrangeli, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1425 N Randall Rd, Elgin, IL 60123 Phone: 847-742-9800 | |
Anna Krok, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1710 N Randall Rd Ste 380, Elgin, IL 60123 Phone: 847-450-6057 | |
Ms. Suzanne Marie Butler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 77 N Airlite St, Elgin, IL 60123 Phone: 847-888-3946 | |
Rosario I Sanchez Prinicipe, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 87 N Airlite St, Elgin, IL 60123 Phone: 847-888-3661 | |
Sandra Lee Parker, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1425 N Randall Rd, Elgin, IL 60123 Phone: 224-783-1570 |