Mrs Mutengwana Kasapu-mwaba, | |
2025 S Chicago St, Joliet, IL 60436-3172 | |
(815) 726-2200 | |
Not Available |
Full Name | Mrs Mutengwana Kasapu-mwaba |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 2025 S Chicago St, Joliet, 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 |
---|---|---|---|
1619480696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.016680 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Will County Community Health Center | 5395633317 | 17 |
Entity Name | Will County Community Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902811714 PECOS PAC ID: 5395633317 Enrollment ID: O20040310000197 |
Entity Name | Oak Street Health Physicians Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083051643 PECOS PAC ID: 7517109879 Enrollment ID: O20130815000670 |
Mailing Address | Practice Location Address |
---|---|
Mrs Mutengwana Kasapu-mwaba, Po Box 746721, Atlanta, GA 30374-6721 Ph: (312) 733-9730 | Mrs Mutengwana Kasapu-mwaba, 2025 S Chicago St, Joliet, IL 60436-3172 Ph: (815) 726-2200 |
Tasha Dawn Horsley, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1541 Riverboat Center Dr, Joliet, IL 60431 Phone: 815-409-4930 Fax: 815-741-3263 | |
Sherri L Albert, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2100 Glenwood Ave, Joliet, IL 60435 Phone: 815-999-3201 Fax: 815-741-6293 | |
Mrs. Theresa Donley, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Black Rd, Joliet, IL 60435 Phone: 815-823-8164 | |
Dolly Osas Agba, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1106 Neal Ave, Joliet, IL 60433 Phone: 815-727-8670 Fax: 815-740-8149 | |
Danielle Marie Ratazak, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2025 S Chicago St, Joliet, IL 60436 Phone: 815-634-0100 | |
Stacey Rogers, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2319 Manhattan Rd, Joliet, IL 60433 Phone: 708-223-2698 | |
Maureen Ann Gorszczyk, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 Water Stone Cir, Joliet, IL 60431 Phone: 815-740-4104 |