Stephanie Gentry Martinez, | |
1024 North Blvd Ste 208, Oak Park, IL 60301-1149 | |
(708) 386-4292 | |
(708) 848-4886 |
Full Name | Stephanie Gentry Martinez |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 1024 North Blvd Ste 208, Oak Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912476813 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 209.018154 (Illinois) | Primary |
Entity Name | Access Community Health Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982783692 PECOS PAC ID: 9537076112 Enrollment ID: O20031204000985 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Gentry Martinez, 1644 W 107th St, Chicago, IL 60643-2906 Ph: (773) 203-2573 | Stephanie Gentry Martinez, 1024 North Blvd Ste 208, Oak Park, IL 60301-1149 Ph: (708) 386-4292 |
Lacey Manimala, Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1026 Gunderson Ave, Oak Park, IL 60304 Phone: 312-509-1616 | |
Amy Elizabeth Willen, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 715 Lake St, Suite 273, Oak Park, IL 60301 Phone: 708-848-3800 Fax: 708-848-0008 | |
Mrs. Julie Anne Irvine, APRN, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1024 North Blvd Ste 208, Oak Park, IL 60301 Phone: 708-488-1004 | |
Elizabeth A Solis, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1024 North Blvd Ste 208, Oak Park, IL 60301 Phone: 708-386-4292 Fax: 708-848-4886 | |
Anne M Gallagher, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 6030 Roosevelt Rd, Oak Park, IL 60304 Phone: 708-386-0845 Fax: 708-386-8472 | |
Ms. Gayle L Riedmann, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 715 Lake St, Suite 273, Oak Park, IL 60301 Phone: 708-848-3800 Fax: 708-848-0008 | |
Nicole Trimble Shapiro, CNM, MS Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 715 Lake St, Suite 273, Oak Park, IL 60301 Phone: 708-848-3800 Fax: 708-848-0008 |