Nina Rusiana, APN | |
200 E Roosevelt Rd, Villa Park, IL 60181-3500 | |
(866) 825-3227 | |
Not Available |
Full Name | Nina Rusiana |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 200 E Roosevelt Rd, Villa Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376828194 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209009024 (Illinois) | Primary |
Entity Name | Dermatology Associates Of Lagrange Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780795856 PECOS PAC ID: 7113830951 Enrollment ID: O20031107000646 |
Entity Name | Cepamerica Illinois Llp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
Entity Name | Proper Balance Medical, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568838647 PECOS PAC ID: 3274840012 Enrollment ID: O20150911000454 |
Mailing Address | Practice Location Address |
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Nina Rusiana, APN 161 Washington St, Eight Tower Suite 1400, Conshohocken, PA 19428-2083 Ph: () - | Nina Rusiana, APN 200 E Roosevelt Rd, Villa Park, IL 60181-3500 Ph: (866) 825-3227 |
Valerie Baron, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 E Roosevelt Rd, Villa Park, IL 60181 Phone: 800-323-8622 | |
Kezia Philips, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 622 N Addison Rd, Villa Park, IL 60181 Phone: 630-279-9600 | |
Julie K Miyamasu, APN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 E Roosevelt Rd, Villa Park, IL 60181 Phone: 800-323-8622 | |
Jennifer Tiffen, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 E Roosevelt Road, Villa Park, IL 60181 Phone: 866-825-3227 | |
Kristina A Roscizewski, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 200 E Roosevelt Rd, Villa Park, IL 60181 Phone: 630-993-0869 | |
Tanya M Lechmaier, APNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 200 E Roosevelt Rd, Villa Park, IL 60181 Phone: 800-323-8622 |