Mrs Abena Konadu Poku, | |
1843 Cedar Rd, Homewood, IL 60430-1309 | |
(312) 833-1762 | |
Not Available |
Full Name | Mrs Abena Konadu Poku |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1843 Cedar Rd, Homewood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497441919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209027156 (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 Abena Konadu Poku, 1843 Cedar Rd, Homewood, IL 60430-1309 Ph: (312) 833-1762 | Mrs Abena Konadu Poku, 1843 Cedar Rd, Homewood, IL 60430-1309 Ph: (312) 833-1762 |
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 |