Mr Kenneth Torres Lazaro, FNP-BC | |
233 S Gary Ave, Bloomingdale, IL 60108-2213 | |
(630) 924-4009 | |
(630) 924-9671 |
Full Name | Mr Kenneth Torres Lazaro |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 8 Years |
Location | 233 S Gary Ave, Bloomingdale, 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 |
---|---|---|---|
1649791195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209016126 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 209016126 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Central Dupage Hospital | Winfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northwestern Medical Faculty Foundation | 4587576814 | 3352 |
Central Dupage Physician Group | 5890696231 | 977 |
Entity Name | Northwestern Medical Faculty Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Entity Name | Advocate Health And Hospitals Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Entity Name | Rush Oak Park Er Physicians Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447260880 PECOS PAC ID: 8820190606 Enrollment ID: O20070226000187 |
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 |
---|---|
Mr Kenneth Torres Lazaro, FNP-BC 233 S Gary Ave, Bloomingdale, IL 60108-2213 Ph: (630) 924-4009 | Mr Kenneth Torres Lazaro, FNP-BC 233 S Gary Ave, Bloomingdale, IL 60108-2213 Ph: (630) 924-4009 |
Jessica Claire Drew, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 E Army Trail Rd, Suite 100, Bloomingdale, IL 60108 Phone: 630-980-8600 Fax: 630-980-8650 | |
Katie Coffman, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 215 E Lake St, Bloomingdale, IL 60108 Phone: 847-278-1527 | |
Kristen Klocker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 473 W Army Trail Rd, 103, Bloomingdale, IL 60108 Phone: 630-529-6969 | |
Ms. Lashonda Stockley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Tiffany Pt Ste 106, Bloomingdale, IL 60108 Phone: 224-653-9507 Fax: 224-653-9387 | |
Ms. Nirmal Dass, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Tiffany Pt Ste 110, Bloomingdale, IL 60108 Phone: 630-924-1160 Fax: 630-924-1162 | |
Marnella Elizalde, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 109 Fairfield Way Ste 207, Bloomingdale, IL 60108 Phone: 630-915-2037 | |
Jackie Macalindong, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 113 W Lake St, Bloomingdale, IL 60108 Phone: 630-894-8600 |