Mrs Latanya Renee Kennedy, DNP, MSN, RN,ACNS-BC | |
5841 S Maryland Ave, Chicago, IL 60637-1447 | |
(773) 702-1000 | |
Not Available |
Full Name | Mrs Latanya Renee Kennedy |
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Gender | Female |
Speciality | Clinical Nurse Specialist - Adult Health |
Location | 5841 S Maryland Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902069032 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
364SA2200X | Clinical Nurse Specialist - Adult Health | 209007058 (Illinois) | Primary |
Entity Name | Chicago Pain Medicine Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669429890 PECOS PAC ID: 1355432014 Enrollment ID: O20070809000347 |
Mailing Address | Practice Location Address |
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Mrs Latanya Renee Kennedy, DNP, MSN, RN,ACNS-BC 5841 S Maryland Ave, Chicago, IL 60637-1447 Ph: (773) 702-1000 | Mrs Latanya Renee Kennedy, DNP, MSN, RN,ACNS-BC 5841 S Maryland Ave, Chicago, IL 60637-1447 Ph: (773) 702-1000 |
Heather Keldahl, CRNA Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 1653 W Congress Pkwy, Jelke 739, Chicago, IL 60612 Phone: 312-942-6504 Fax: 312-942-5773 | |
Nancy Therese Scott, DNP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 5841 S Maryland Avenue, University Of Chicago Medicine, Chicago, IL 60637 Phone: 773-926-9147 Fax: 773-702-8690 | |
Patricia Nwadinma Ezirike, PMHNP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2207 W Lunt Ave, Chicago, IL 60645 Phone: 773-297-7911 | |
Gabriel Campos, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1927 Fax: 773-702-2837 | |
Maria Barnes, C.N.S. Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1000 | |
Mary Jane Welch, NP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2150 W Harrison St, Chicago, IL 60612 Phone: 312-942-3112 Fax: 312-942-2874 | |
Nancy Ruth Meyer, APN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2545 S King Dr, Chicago, IL 60616 Phone: 312-842-7117 |