Stephanie Allison Klug, DNP, CPNP-AC | |
225 E Chicago Ave, Chicago, IL 60611-2991 | |
(708) 606-3253 | |
Not Available |
Full Name | Stephanie Allison Klug |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics, Critical Care |
Location | 225 E Chicago Ave, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942828306 | NPI | - | NPPES |
209.021490 | Other | IL | STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION |
202010582 | Other | PEDIATRIC NURSING CERTIFICATION BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0222X | Nurse Practitioner - Pediatrics, Critical Care | 209.021490 (Illinois) | Primary |
Entity Name | Pediatric Faculty Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518064716 PECOS PAC ID: 4789597279 Enrollment ID: O20031111000157 |
Mailing Address | Practice Location Address |
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Stephanie Allison Klug, DNP, CPNP-AC 4002 Pine St, Michigan City, IN 46360-6624 Ph: (708) 606-3253 | Stephanie Allison Klug, DNP, CPNP-AC 225 E Chicago Ave, Chicago, IL 60611-2991 Ph: (708) 606-3253 |
Mr. Gerald M. Bedore, APN/CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 S Wolcott Ave Rm E-144, Chicago, IL 60612 Phone: 312-996-7420 Fax: 312-413-8485 | |
Stacy Ervin, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 N Michigan Ave, Chicago, IL 60611 Phone: 866-825-3227 | |
Angela Obondo Peterson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 259 E Erie St Fl 17, Chicago, IL 60611 Phone: 312-926-6000 Fax: 312-926-0516 | |
Katherine Cappitelli, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St Ste 2125, Chicago, IL 60611 Phone: 312-472-4218 | |
Juliet Ibanez Panambo Kantoff, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Michigan Ave Ste 1200, Chicago, IL 60611 Phone: 312-635-0973 | |
Catherine L Chung, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2142 S Archer Ave, Chicago, IL 60616 Phone: 312-326-1408 | |
Tricia Muir, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 850 W Irving Park Rd, Chicago, IL 60613 Phone: 773-525-6780 |