Reba Elizabeth Mathew, | |
500 Asbury Ave # 316-3320, Evanston, IL 60202-2724 | |
(847) 316-3320 | |
Not Available |
Full Name | Reba Elizabeth Mathew |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 500 Asbury Ave # 316-3320, Evanston, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013566892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.019373 (Illinois) | Primary |
Entity Name | Vitae Health Of Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838 |
Mailing Address | Practice Location Address |
---|---|
Reba Elizabeth Mathew, 3450 Oakton St Ste 300, Skokie, IL 60076-2951 Ph: () - | Reba Elizabeth Mathew, 500 Asbury Ave # 316-3320, Evanston, IL 60202-2724 Ph: (847) 316-3320 |
Marlene Angelico, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Emergency Medicine, Rm G903c, Evanston, IL 60201 Phone: 847-570-1355 Fax: 847-570-1223 | |
Emily Pableo Pinol, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-982-3811 | |
Mrs. Monika Marrero, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-425-6400 | |
Holly Rene, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-1027 | |
Manijeh Ghafouri, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Central St, Evanston, IL 60201 Phone: 847-869-3800 | |
Regina Munoz, APN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Central St Ste 610, Evanston, IL 60201 Phone: 847-570-1029 Fax: 847-733-5318 |