Ross Mamaril, FNP | |
4815 S Western Blvd, Chicago, IL 60609-4067 | |
(773) 927-4200 | |
Not Available |
Full Name | Ross Mamaril |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 4815 S Western Blvd, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043845027 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.020575 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Telemedico Physicians Sc | 6901103647 | 14 |
Entity Name | Cardiac Vision Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275990707 PECOS PAC ID: 6800192519 Enrollment ID: O20160307001296 |
Entity Name | Telemedico Physicians Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912368150 PECOS PAC ID: 6901103647 Enrollment ID: O20160324000859 |
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 |
---|---|
Ross Mamaril, FNP 5132 N Elston Ave, Chicago, IL 60630-2429 Ph: (847) 235-6130 | Ross Mamaril, FNP 4815 S Western Blvd, Chicago, IL 60609-4067 Ph: (773) 927-4200 |
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