Ms Jacqueline Rice, CNP | |
10310 S 82nd Ct, Palos Hills, IL 60465-1843 | |
(708) 744-5422 | |
Not Available |
Full Name | Ms Jacqueline Rice |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 10310 S 82nd Ct, Palos Hills, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437131406 | NPI | - | NPPES |
550894537 | Other | IL | TAX ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 309001667 (Illinois) | Primary |
Entity Name | Practical Practitioners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023035888 PECOS PAC ID: 0941246193 Enrollment ID: O20050628001284 |
Mailing Address | Practice Location Address |
---|---|
Ms Jacqueline Rice, CNP 28873 Redfield St, Niles, MI 49120-5935 Ph: (800) 323-3007 | Ms Jacqueline Rice, CNP 10310 S 82nd Ct, Palos Hills, IL 60465-1843 Ph: (708) 744-5422 |
Ryan Braner, APN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10330 S Roberts Rd, Palos Hills, IL 60465 Phone: 708-237-7200 Fax: 708-237-7201 | |
Mrs. Cynthia Dawn Martin, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10426 S Roberts Rd, Palos Hills, IL 60465 Phone: 847-933-9200 | |
Brittany C Hampton, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10508 S Roberts Rd, Palos Hills, IL 60465 Phone: 708-598-2448 | |
Deborah Oludemi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10200 S Roberts Rd, Palos Hills, IL 60465 Phone: 708-285-0078 | |
Asil Aldarawsheh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11164 Southwest Hwy, Palos Hills, IL 60465 Phone: 708-907-3422 |