Raegene Hankle, FNP-BC | |
12850 S Ashland Ave, Calumet Park, IL 60827-6308 | |
(708) 972-7958 | |
Not Available |
Full Name | Raegene Hankle |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 12850 S Ashland Ave, Calumet 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 |
---|---|---|---|
1902522147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209-026099 (Illinois) | Primary |
Entity Name | Dupage Medical Group Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20040412001479 |
Entity Name | Midwest Express Care 2 Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548692890 PECOS PAC ID: 0547495467 Enrollment ID: O20131031001375 |
Mailing Address | Practice Location Address |
---|---|
Raegene Hankle, FNP-BC 1860 Paysphere Cir, Chicago, IL 60674-0018 Ph: (630) 469-9200 | Raegene Hankle, FNP-BC 12850 S Ashland Ave, Calumet Park, IL 60827-6308 Ph: (708) 972-7958 |
Ms. Katarzyna Para, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12850 S Ashland Ave, Calumet Park, IL 60827 Phone: 708-972-7958 | |
Kimberly Fauke Kakooza, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12850 S Ashland Ave, Calumet Park, IL 60827 Phone: 708-972-7958 |