Mrs Tracey Mariene Ross, FNP-BC | |
543 Irving Pl, University Park, IL 60484-3219 | |
(708) 275-4204 | |
Not Available |
Full Name | Mrs Tracey Mariene Ross |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 543 Irving Pl, University Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134774771 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209019579 (Illinois) | Primary |
Entity Name | Siloam Home And Wound Care Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861814915 PECOS PAC ID: 6709015324 Enrollment ID: O20140131000259 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tracey Mariene Ross, FNP-BC 543 Irving Pl, University Park, IL 60484-3219 Ph: (708) 275-4204 | Mrs Tracey Mariene Ross, FNP-BC 543 Irving Pl, University Park, IL 60484-3219 Ph: (708) 275-4204 |
Mrs. Julia M Johnson, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 469 Fairway Ln, University Park, IL 60484 Phone: 708-465-7352 | |
Greta Mcghee, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 552 Hickok Ave, University Park, IL 60484 Phone: 708-534-7551 | |
Monique Barnes, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 696 Madisen Ln, University Park, IL 60484 Phone: 708-314-8284 |