Shimmy Manoj, | |
15w625 Virginia Ln, Elmhurst, IL 60126-1261 | |
(630) 744-9374 | |
Not Available |
Full Name | Shimmy Manoj |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 15w625 Virginia Ln, Elmhurst, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598202442 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209015507 (Illinois) | Primary |
Entity Name | Gericare Associates Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538546825 PECOS PAC ID: 5991002032 Enrollment ID: O20160405000223 |
Mailing Address | Practice Location Address |
---|---|
Shimmy Manoj, 15w625 Virginia Ln, Elmhurst, IL 60126-1261 Ph: (630) 744-9374 | Shimmy Manoj, 15w625 Virginia Ln, Elmhurst, IL 60126-1261 Ph: (630) 744-9374 |
Heather Ann San Juan, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 613 S Poplar Ave, Elmhurst, IL 60126 Phone: 630-217-9620 | |
Kelly Rae Morris, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 S York St Ste 2000, Elmhurst, IL 60126 Phone: 331-221-9003 | |
Lina G Patel, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 429 N York Rd, Elmhurst, IL 60126 Phone: 630-782-4050 Fax: 630-782-5021 | |
Judith G Benka, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 S York St Ste 2000, Elmhurst, IL 60126 Phone: 331-221-9002 Fax: 331-221-2747 | |
Erin C Daley, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 331-221-1000 | |
Izolda Rosario, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 501 W Lake St Ste 207, Elmhurst, IL 60126 Phone: 312-513-9863 | |
Tammy J Kirk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 133 E Brush Hill Rd Ste 202, Elmhurst, IL 60126 Phone: 331-231-6200 Fax: 332-231-6201 |