Mr Jeffrey Dan Intud, | |
17901 Governors Hwy Ste 206, Homewood, IL 60430-1146 | |
(708) 960-4280 | |
Not Available |
Full Name | Mr Jeffrey Dan Intud |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 17901 Governors Hwy Ste 206, Homewood, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205464187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.020983 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Chicagoland Infectious Disease Pc | 5193948362 | 27 |
Entity Name | Chicagoland Infectious Disease Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780002352 PECOS PAC ID: 5193948362 Enrollment ID: O20140516001062 |
Mailing Address | Practice Location Address |
---|---|
Mr Jeffrey Dan Intud, 17901 Governors Hwy Ste 206, Homewood, IL 60430-1146 Ph: (708) 960-4280 | Mr Jeffrey Dan Intud, 17901 Governors Hwy Ste 206, Homewood, IL 60430-1146 Ph: (708) 960-4280 |
Tracy O Omorogieva, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 17901 Governors Hwy Ste 206, Homewood, IL 60430 Phone: 708-960-4280 | |
Nicole Miroballi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17901 Governors Hwy Ste 102, Homewood, IL 60430 Phone: 708-957-0220 Fax: 708-957-4519 | |
Dr. Melanie Weglarz, DNP, APRN, AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18357 Cowing Ct, Homewood, IL 60430 Phone: 708-337-0354 | |
Dorothy B Bassey, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18400 Cherry Creek Dr Apt 312, Homewood, IL 60430 Phone: 312-647-8563 | |
Imaobong Patrick Udonkang, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18636 Dixie Hwy, Homewood, IL 60430 Phone: 708-647-0571 Fax: 708-647-0676 | |
Benedeth Ndidi Nwumeh, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1155 183rd St, Homewood, IL 60430 Phone: 708-288-1099 | |
Ma Aurora Emma Altuna Estrada, AGAC-NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17901 Governors Hwy # 209, Homewood, IL 60430 Phone: 708-960-4280 |