Mrs Glory Obianuju Ikerodah, FNP | |
1777 E Court St, Kankakee, IL 60901-2670 | |
(773) 676-4076 | |
Not Available |
Full Name | Mrs Glory Obianuju Ikerodah |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 1777 E Court St, Kankakee, 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 |
---|---|---|---|
1932675006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209018155 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 277.002987 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Trinity Hospital | Chicago, IL | Hospital |
Ingalls Memorial Hospital | Harvey, IL | Hospital |
Presence St Marys Hospital | Kankakee, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sas Surgical Ltd | 8820304322 | 2 |
Entity Name | Chicago Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285972505 PECOS PAC ID: 2961640222 Enrollment ID: O20130528000058 |
Entity Name | Sas Surgical Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841676038 PECOS PAC ID: 8820304322 Enrollment ID: O20150828001310 |
Entity Name | Midwest Home Physicians Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760086540 PECOS PAC ID: 0941613426 Enrollment ID: O20210708001340 |
Mailing Address | Practice Location Address |
---|---|
Mrs Glory Obianuju Ikerodah, FNP 1777 E Court St, Kankakee, IL 60901-2670 Ph: (877) 692-8686 | Mrs Glory Obianuju Ikerodah, FNP 1777 E Court St, Kankakee, IL 60901-2670 Ph: (773) 676-4076 |
Ms. Katherine Marie Leclear, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671 | |
Judith D Magdziarz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1701 E Court St, Kankakee, IL 60901 Phone: 815-935-9395 Fax: 815-935-1187 | |
Tracey Samantha Peachey, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 N Wall St Ste 102, Kankakee, IL 60901 Phone: 815-928-5090 Fax: 815-928-5079 | |
Kendra G Hansen, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall St, Kankakee, IL 60901 Phone: 844-404-4787 Fax: 815-936-3243 | |
Jolene T Maass, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-2200 Fax: 815-937-2258 | |
Brianna C Neal, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 70 Meadowview Ctr Ste 300, Kankakee, IL 60901 Phone: 815-802-0022 Fax: 815-802-0011 | |
Rebecca Leonhardt, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 550 W. Court Street, Kankakee, IL 60468 Phone: 815-937-2200 Fax: 815-937-2258 |