Mrs Tyra Storey, AGPCNP | |
345 Dixie Hwy, Chicago Heights, IL 60411-1757 | |
(888) 660-4425 | |
Not Available |
Full Name | Mrs Tyra Storey |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 345 Dixie Hwy, Chicago Heights, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073210183 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | 209026484 (Illinois) | Primary |
Entity Name | Sound Physicians Of Illinois Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043598865 PECOS PAC ID: 1557533734 Enrollment ID: O20111012000272 |
Entity Name | Midwest Post Acute Care Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083012074 PECOS PAC ID: 0143547117 Enrollment ID: O20150401000634 |
Entity Name | Cmc Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295432334 PECOS PAC ID: 4688039209 Enrollment ID: O20230503001140 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tyra Storey, AGPCNP 20015 S Lagrange Rd # 1328, Frankfort, IL 60423-3104 Ph: (708) 770-1162 | Mrs Tyra Storey, AGPCNP 345 Dixie Hwy, Chicago Heights, IL 60411-1757 Ph: (888) 660-4425 |
Ms. Jilaina J Taylor, MSN/FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 Otto Blvd, Chicago Heights, IL 60411 Phone: 708-733-7200 Fax: 708-733-7222 | |
Delovely Gloria Jackson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 Otto Blvd, Chicago Heights, IL 60411 Phone: 708-733-7200 Fax: 708-733-7222 | |
Mrs. Melinda Renee Fitzgerald, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 152 W. Lincoln Highway, Chicago Heights, IL 60411 Phone: 708-755-7359 Fax: 708-754-3071 | |
Olayemi Ekaette Adeyemi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 W 14th St, Chicago Heights, IL 60411 Phone: 708-985-3040 | |
Alexis S Thomas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 Otto Blvd, Chicago Heights, IL 60411 Phone: 708-733-7200 Fax: 708-733-7222 | |
Tyra Franklin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 Wallace St, Chicago Heights, IL 60411 Phone: 708-774-6255 |