| Hometown Np | |
|
10205 W Lincoln Hwy Frankfort IL 60423-1279 | |
| (708) 998-2979 | |
| Not Available |
| Full Name | Hometown Np |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 10205 W Lincoln Hwy, Frankfort, Illinois |
| Authorized Official Name and Position | Chime Ajiere (CEO) |
| Authorized Official Contact | 7088478688 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hometown Np 10205 W Lincoln Hwy Frankfort IL 60423-1279 Ph: (708) 998-2979 | Hometown Np 10205 W Lincoln Hwy Frankfort IL 60423-1279 Ph: (708) 998-2979 |
| NPI Number | 1962146571 |
|---|---|
| Provider Enumeration Date | 04/21/2022 |
| Last Update Date | 02/05/2024 |
| Medicare PECOS PAC ID | 3577940246 |
|---|---|
| Medicare Enrollment ID | O20220518001616 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962146571 | NPI | - | NPPES |
| 332781777001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Chime Darlington Ajiere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851889018 PECOS PAC ID: 7012264047 Enrollment ID: I20180723002674 |
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