Tara Jane Dethmers, APRN, CNM | |
680 N Lake Shore Dr Ste 815, Chicago, IL 60611-4449 | |
(312) 926-5521 | |
(312) 926-8855 |
Full Name | Tara Jane Dethmers |
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Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 680 N Lake Shore Dr Ste 815, 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 |
---|---|---|---|
1871049635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 209014778 (Illinois) | Primary |
Entity Name | Northwestern Medical Faculty Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Mailing Address | Practice Location Address |
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Tara Jane Dethmers, APRN, CNM 680 N Lake Shore Dr Ste 815, Chicago, IL 60611-4449 Ph: (312) 926-5521 | Tara Jane Dethmers, APRN, CNM 680 N Lake Shore Dr Ste 815, Chicago, IL 60611-4449 Ph: (312) 926-5521 |
Jacqueline S Ma, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 966 W 21st St, Chicago, IL 60608 Phone: 773-254-1400 Fax: 312-829-6375 | |
Tracy A Abraham, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1220 S Wood St, Chicago, IL 60608 Phone: 312-996-2000 Fax: 312-413-2026 | |
Christina Volkening, MSN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2233 W Division St, Chicago, IL 60622 Phone: 312-770-2000 | |
Mallory Marie Klocke, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1117 W Lunt Ave Apt 2a, Chicago, IL 60626 Phone: 712-210-2717 | |
Rebecca Etrenne, APN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 219 W Chicago Ave, Chicago, IL 60654 Phone: 312-878-1945 | |
Ms. Alyssa Suzanne Mull, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 1701 W Superior Street, Erie Family Health Center, Chicago, IL 60622 Phone: 312-666-3494 | |
Kamila Stoksik, DNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 250 E Superior St, Chicago, IL 60611 Phone: 312-472-2900 |