Ms Sandra Lynn Mikulich, APN | |
17850 Kedzie Ave Ste 3250, Hazel Crest, IL 60429-2082 | |
(708) 799-8700 | |
(708) 957-1830 |
Full Name | Ms Sandra Lynn Mikulich |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 17850 Kedzie Ave Ste 3250, Hazel Crest, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528216082 | NPI | - | NPPES |
3160176976 | Other | IL | BLUE CROSS |
CM7411 | Other | IL | RAILROAD MEDICARE |
P00694835 | Other | IL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209007221 (Illinois) | Primary |
Entity Name | Advocate Health And Hospitals Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Mailing Address | Practice Location Address |
---|---|
Ms Sandra Lynn Mikulich, APN 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Ms Sandra Lynn Mikulich, APN 17850 Kedzie Ave Ste 3250, Hazel Crest, IL 60429-2082 Ph: (708) 799-8700 |
Eziaha R Georgewill, APRN-BC, C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave # A, Hazel Crest, IL 60429 Phone: 708-799-8000 | |
Sumar Abushaqra, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 | |
Tawakalitu Afolashade Babawale, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3710 Village Dr, Hazel Crest, IL 60429 Phone: 773-719-0070 | |
Sharyl L Sadowski, NNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-799-8000 | |
Ms. Rachel Cheeks, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 312-609-0300 | |
Andrea Pawlak, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 | |
Mr. Rasaq Durojaiye, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-3125 |