Mrs Kirsti Rose Willis, APN | |
1500 S Fairfield Ave, Chicago, IL 60608-1782 | |
(773) 542-2000 | |
Not Available |
Full Name | Mrs Kirsti Rose Willis |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 1500 S Fairfield Ave, Chicago, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023670247 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209018126 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Dupage Hospital | Winfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cepamerica Illinois Llp | 3274793633 | 417 |
Entity Name | Central Dupage Emergency Physicians Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619074028 PECOS PAC ID: 5597763706 Enrollment ID: O20061127000063 |
Entity Name | Carle Health Care Incorporated |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
Entity Name | Cepamerica Illinois Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kirsti Rose Willis, APN 1707 Frost Ln, Naperville, IL 60564-5164 Ph: (630) 853-3712 | Mrs Kirsti Rose Willis, APN 1500 S Fairfield Ave, Chicago, IL 60608-1782 Ph: (773) 542-2000 |
Mr. Gerald M. Bedore, APN/CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 S Wolcott Ave Rm E-144, Chicago, IL 60612 Phone: 312-996-7420 Fax: 312-413-8485 | |
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