Mrs Anitha Philip, RN | |
501 Beach Ave, La Grange Park, IL 60526-5715 | |
(312) 404-7713 | |
Not Available |
Full Name | Mrs Anitha Philip |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 19 Years |
Location | 501 Beach Ave, La Grange Park, 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 |
---|---|---|---|
1558575779 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209006614 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
John H Stroger Jr Hospital | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cook County | 2860398088 | 645 |
Entity Name | Cook County |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
Mailing Address | Practice Location Address |
---|---|
Mrs Anitha Philip, RN 501 Beach Ave, La Grange Park, IL 60526-5715 Ph: (312) 404-7713 | Mrs Anitha Philip, RN 501 Beach Ave, La Grange Park, IL 60526-5715 Ph: (312) 404-7713 |
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