Mrs Diane Fodor Mattes, CNP | |
5000 S 5th Ave Bldg 1, Room E236, Hines, IL 60141-3030 | |
(708) 202-8387 | |
(708) 202-7402 |
Full Name | Mrs Diane Fodor Mattes |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 5000 S 5th Ave Bldg 1, Hines, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942425673 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209006217 (Illinois) | Primary |
Entity Name | University Of Chicago |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
Entity Name | The University Of Chicago Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031113000198 |
Mailing Address | Practice Location Address |
---|---|
Mrs Diane Fodor Mattes, CNP 5000 S. Fifth Ave Building 1, Room E236, Hines, IL 60141-3030 Ph: (708) 202-8387 | Mrs Diane Fodor Mattes, CNP 5000 S 5th Ave Bldg 1, Room E236, Hines, IL 60141-3030 Ph: (708) 202-8387 |
Ms. Rene Marie Stolarczyk, RN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5th Avenue, Building 228, Hines, IL 60141 Phone: 708-202-3512 Fax: 708-202-4700 | |
Mrs. Jeanette Marie Radzak, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5th Ave And Roosevelt Road, Hines, IL 60141 Phone: 708-202-2459 | |
Catherine Lynn Stull, FNP BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5000 S 5th Ave, Hines, IL 60141 Phone: 708-202-8387 Fax: 708-202-2259 | |
Mrs. Karen Marie Berhinig, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5000 S 5th Ave, Building 228, Room B1001, Hines, IL 60141 Phone: 708-202-8387 | |
Sarah Elizabeth Colon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5000 S 5th Ave, Hines, IL 60141 Phone: 708-202-8387 | |
Mrs. Veronica Broger-dunner, MSN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5000 S 5th Ave, Hines, IL 60141 Phone: 708-202-8387 | |
Ms. Maureen Mary Komperda, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5th Ave And Roosevelt Road, Building 200 - 3rd Floor, Hines, IL 60141 Phone: 708-202-8387 Fax: 708-202-8358 |