Mr Richard John Abais Villaceran, | |
431 W Liberty St, Wauconda, IL 60084-2452 | |
(847) 526-2151 | |
Not Available |
Full Name | Mr Richard John Abais Villaceran |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 431 W Liberty St, Wauconda, 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 |
---|---|---|---|
1245649862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.011672 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Family Medicine Specialists S.c. | 0042206252 | 26 |
Family Medicine Specialists Of Round Lake Incorporated S C | 6002957511 | 18 |
Family Medicine Specialists Of Mount Prospect S C | 8224166566 | 11 |
Entity Name | Family Medicine Specialists S.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063406601 PECOS PAC ID: 0042206252 Enrollment ID: O20040422001425 |
Entity Name | Family Medicine Specialists Of Round Lake Incorporated S C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740515253 PECOS PAC ID: 6002957511 Enrollment ID: O20100106000383 |
Entity Name | Family Medicine Specialists Of Mount Prospect S C |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437389475 PECOS PAC ID: 8224166566 Enrollment ID: O20100507000184 |
Mailing Address | Practice Location Address |
---|---|
Mr Richard John Abais Villaceran, 6 Haddon Ct, Lake In The Hills, IL 60156 Ph: (847) 526-2151 | Mr Richard John Abais Villaceran, 431 W Liberty St, Wauconda, IL 60084-2452 Ph: (847) 526-2151 |
Kristine M Redmond, APRN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Ileana A Schropp, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Mrs. Karen Anne Fermin Violago, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Amy Bonfiglio, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Tabitha Gardner, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Corrie Mcmahon, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Michelle Delich, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 |