Reena James, | |
9700 Kedvale Ave, Skokie, IL 60076-1122 | |
(847) 648-0692 | |
Not Available |
Full Name | Reena James |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 9700 Kedvale Ave, Skokie, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962062208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.019528 (Illinois) | Primary |
Entity Name | Cook County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
Entity Name | Family Care Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376154088 PECOS PAC ID: 1557780970 Enrollment ID: O20201002002055 |
Mailing Address | Practice Location Address |
---|---|
Reena James, 9700 Kedvale Ave, Skokie, IL 60076-1122 Ph: (847) 648-0692 | Reena James, 9700 Kedvale Ave, Skokie, IL 60076-1122 Ph: (847) 648-0692 |
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