Mrs Theresa M Larson, FNP-BC | |
11200 W Lincoln Hwy, Mokena, IL 60448-8208 | |
(815) 464-2171 | |
Not Available |
Full Name | Mrs Theresa M Larson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 26 Years |
Location | 11200 W Lincoln Hwy, Mokena, 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 |
---|---|---|---|
1942593496 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209000555 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Minuteclinic Diagnostic Of Illinois Llc | 8729171566 | 126 |
Entity Name | Minuteclinic Diagnostic Of Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356485809 PECOS PAC ID: 8729171566 Enrollment ID: O20070910000607 |
Mailing Address | Practice Location Address |
---|---|
Mrs Theresa M Larson, FNP-BC 11200 Lincoln Highway, Mokena, IL 60448 Ph: (815) 464-2171 | Mrs Theresa M Larson, FNP-BC 11200 W Lincoln Hwy, Mokena, IL 60448-8208 Ph: (815) 464-2171 |
Cynthia Phillips, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11200 W Lincoln Hwy, Mokena, IL 60448 Phone: 815-464-2171 | |
Mrs. Shonda Lynn Farris, RN, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11200 Lincoln Hwy, Mokena, IL 60448 Phone: 815-464-2171 | |
Dr. Victoria O. Fadiya, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9405 Bormet Dr Ste 10, Mokena, IL 60448 Phone: 708-481-0095 Fax: 866-299-8890 | |
Ms. Irene Bresingham, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11200 W Lincoln Hwy, Mokena, IL 60448 Phone: 815-464-2171 | |
Lindsie Fransen, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11200 Lincoln Hwy, Mokena, IL 60448 Phone: 866-389-2727 | |
Sarah Cupp, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11243 W Laporte Rd, Mokena, IL 60448 Phone: 708-479-4681 Fax: 708-479-8516 | |
Ann Lynn Pampalone, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11200 W Lincoln Hwy, Mokena, IL 60448 Phone: 815-464-2171 Fax: 815-464-2176 |