Ms Susan A Mack, APRN-FPA | |
514 Teela Ln, Des Plaines, IL 60016-1230 | |
(847) 692-6000 | |
(847) 692-6112 |
Full Name | Ms Susan A Mack |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 514 Teela Ln, Des Plaines, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003808270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 277000186 (Illinois) | Primary |
363L00000X | Nurse Practitioner | 209002933 (Illinois) | Secondary |
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 |
Mailing Address | Practice Location Address |
---|---|
Ms Susan A Mack, APRN-FPA 514 Teela Ln, Des Plaines, IL 60016-1230 Ph: (847) 692-6000 | Ms Susan A Mack, APRN-FPA 514 Teela Ln, Des Plaines, IL 60016-1230 Ph: (847) 692-6000 |
Caroline Odior Shodunola, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 595 Anita St # 595a, Des Plaines, IL 60016 Phone: 773-475-1210 | |
Amitaben Patel, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2250 E Devon Ave Ste 333, Des Plaines, IL 60018 Phone: 224-803-2273 | |
Sivani Patel, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1426 Danbury Ln, Des Plaines, IL 60018 Phone: 224-595-7813 | |
Mr. Ibrahim Aldasoqi, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 Potter Rd, Des Plaines, IL 60016 Phone: 773-319-2317 | |
Purvi Gabhawala, AGNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 N River Rd, Des Plaines, IL 60016 Phone: 847-290-1300 | |
Christina Valdivia, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Rand Rd Ste 120, Des Plaines, IL 60016 Phone: 312-767-3244 |