Stacy Diann Leigh, CPNP | |
1775 Dempster St, Park Ridge, IL 60068-1143 | |
(847) 723-5150 | |
(847) 723-2083 |
Full Name | Stacy Diann Leigh |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1775 Dempster St, Park Ridge, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629332648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | RN129499 (Georgia) | Secondary |
363L00000X | Nurse Practitioner | 277-002148 (Illinois) | Primary |
Entity Name | Gwinnett Emergency Specialists Observation Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720373129 PECOS PAC ID: 7618140955 Enrollment ID: O20111101000364 |
Mailing Address | Practice Location Address |
---|---|
Stacy Diann Leigh, CPNP 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Stacy Diann Leigh, CPNP 1775 Dempster St, Park Ridge, IL 60068-1143 Ph: (847) 723-5150 |
Michal Ora Mendelsberg, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Devon Ave, Park Ridge, IL 60068 Phone: 800-323-8622 Fax: 224-225-0374 | |
Amy Miner, APN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1875 Dempster St, Park Ridge, IL 60068 Phone: 844-725-5238 Fax: 847-723-2791 | |
Oluwatosin Olayeye, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1775 Dempster St Ste Aip, Park Ridge, IL 60068 Phone: 773-895-5075 | |
Marina Makovetskaia, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1775 Dempster St, #936, Park Ridge, IL 60068 Phone: 847-723-8815 | |
Marlene Varnavas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Dempster St Ste 120, Park Ridge, IL 60068 Phone: 847-299-7888 | |
Mrs. Gina Marie Palm, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1675 Dempster St Fl 1, Park Ridge, IL 60068 Phone: 847-318-9300 Fax: 847-723-9583 | |
Cynthia Kane, MS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1875 Dempster St Ste 180, Park Ridge, IL 60068 Phone: 844-725-5238 Fax: 847-723-2791 |