Tiraney Redmond, | |
2100 Sibley Blvd Ste 104, Calumet City, IL 60409-2153 | |
(708) 933-0872 | |
Not Available |
Full Name | Tiraney Redmond |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Location | 2100 Sibley Blvd Ste 104, Calumet City, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538639406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041318088 (Illinois) | Secondary |
363L00000X | Nurse Practitioner | 209019206 (Illinois) | Primary |
Entity Name | Vpa Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174925663 PECOS PAC ID: 9234041948 Enrollment ID: O20040312001189 |
Entity Name | Md @ Home Illinois, Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568758415 PECOS PAC ID: 7810167830 Enrollment ID: O20110831000340 |
Entity Name | Home Physicians Of Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841703584 PECOS PAC ID: 7012276173 Enrollment ID: O20180117002250 |
Entity Name | Episource Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225390289 PECOS PAC ID: 7911009451 Enrollment ID: O20200721003810 |
Entity Name | Absolute Medical Group, Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407433824 PECOS PAC ID: 6507273844 Enrollment ID: O20210401001938 |
Mailing Address | Practice Location Address |
---|---|
Tiraney Redmond, 3439 W 82nd Pl, Chicago, IL 60652-2503 Ph: (773) 386-3439 | Tiraney Redmond, 2100 Sibley Blvd Ste 104, Calumet City, IL 60409-2153 Ph: (708) 933-0872 |
Mr. Olumide Samson Fagbemi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1118 Lucas St, Calumet City, IL 60409 Phone: 708-785-2238 | |
Chibuzo Lasisi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1600 Torrence Ave, Calumet City, IL 60409 Phone: 708-730-1300 | |
Idowu Florence Fapohunda, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 425 Warren St, Calumet City, IL 60409 Phone: 708-439-2145 Fax: 708-360-3238 | |
Janet Biedron, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19 River Oaks Dr, Calumet City, IL 60409 Phone: 708-862-1290 Fax: 708-862-6447 | |
Vicki Bradley, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 522 Torrence Ave, Calumet City, IL 60409 Phone: 708-868-5669 | |
Oludele David Olagoke, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 452 Muskegon Ave, Calumet City, IL 60409 Phone: 312-493-4996 | |
Tenisha Kates, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 435 Calhoun Ave, Calumet City, IL 60409 Phone: 708-368-2180 |