Ms Amber Dawn Datti, | |
150 W High St, Morris, IL 60450-1463 | |
(815) 942-2932 | |
Not Available |
Full Name | Ms Amber Dawn Datti |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 150 W High St, Morris, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497429658 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.023701 (Illinois) | Primary |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190507001451 |
Entity Name | Healthfair Plus Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20190729000439 |
Mailing Address | Practice Location Address |
---|---|
Ms Amber Dawn Datti, 1 University Pkwy, Romeoville, IL 60446-2200 Ph: () - | Ms Amber Dawn Datti, 150 W High St, Morris, IL 60450-1463 Ph: (815) 942-2932 |
Amy Lynn Staker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Gore Rd, Morris, IL 60450 Phone: 815-364-8919 | |
Jammie Vickers, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1802 N Division St Ste 701, Morris, IL 60450 Phone: 815-942-5790 | |
Mrs. Diane Marie Zuelke, ANP-FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1802 N Division St Ste 703, Morris, IL 60450 Phone: 815-941-8000 Fax: 815-705-1712 | |
Alexis Weaver, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 Lakewood Dr Ste A, Morris, IL 60450 Phone: 815-942-6323 Fax: 815-941-0308 | |
Dr. Kelly Rae Lesemann, D.C. Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 107 W Jefferson St, Morris, IL 60450 Phone: 815-942-8399 Fax: 815-942-8388 | |
Brian R. Czapko, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1715 N Division St Ste 4d5e, Morris, IL 60450 Phone: 815-431-3410 Fax: 815-431-3411 | |
Mrs. Sherese A Pruss, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 151 W High St Lowr Level, Morris, IL 60450 Phone: 815-705-1000 Fax: 815-705-2709 |