Riskat Fadonougbo, PMHNP | |
800 E 55th St, Chicago, IL 60615-4906 | |
(773) 702-0660 | |
Not Available |
Full Name | Riskat Fadonougbo |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 800 E 55th St, Chicago, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154967230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 041399212 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Friend Family Health Center Inc | 2062494552 | 37 |
Entity Name | Friend Family Health Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578560090 PECOS PAC ID: 2062494552 Enrollment ID: O20040805001242 |
Entity Name | Family Doc Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700117942 PECOS PAC ID: 0042341471 Enrollment ID: O20100629000851 |
Mailing Address | Practice Location Address |
---|---|
Riskat Fadonougbo, PMHNP 6419 N Sacramento Ave, Chicago, IL 60645-4214 Ph: (773) 671-6853 | Riskat Fadonougbo, PMHNP 800 E 55th St, Chicago, IL 60615-4906 Ph: (773) 702-0660 |
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