Rochelle A Johnson, | |
3210 Grand Ave, Waukegan, IL 60085-2204 | |
(847) 440-7339 | |
Not Available |
Full Name | Rochelle A Johnson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 3210 Grand Ave, Waukegan, 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 |
---|---|---|---|
1104416163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209.022683 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Vista Medical Center East | Waukegan, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oak Street Health Physicians Group Pc | 7517109879 | 187 |
Entity Name | Oak Street Health Physicians Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083051643 PECOS PAC ID: 7517109879 Enrollment ID: O20130815000670 |
Mailing Address | Practice Location Address |
---|---|
Rochelle A Johnson, Po Box 746721, Atlanta, GA 30374-6721 Ph: () - | Rochelle A Johnson, 3210 Grand Ave, Waukegan, IL 60085-2204 Ph: (847) 440-7339 |
Wendy Jahayra Miralda, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8296 | |
Mercedes Rebeca Jasso, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 Belvidere Rd, Waukegan, IL 60085 Phone: 847-377-8800 | |
Ms. Amy Ruth Morton-miller, PHD, RN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8808 | |
Samantha Williams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1324 N Sheridan Rd, Waukegan, IL 60085 Phone: 847-360-3000 | |
Mrs. Antoinette Green, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1324 N Sheridan Rd, Waukegan, IL 60085 Phone: 847-360-4303 Fax: 847-596-4506 | |
Dominika Kowalski, PNP, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2400 Belvidere Rd, Waukegan, IL 60085 Phone: 847-377-8400 |