Kendra Poole Inc | |
334 Backbone Rd E Princeton IL 61356-9685 | |
(815) 303-4668 | |
(949) 862-8061 |
Full Name | Kendra Poole Inc |
---|---|
Speciality | Nurse Practitioner |
Location | 334 Backbone Rd E, Princeton, Illinois |
Authorized Official Name and Position | Kendra Mae Poole (FNP/ OWNER) |
Authorized Official Contact | 8153034668 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Kendra Poole Inc 2215 State St Peru IL 61354-3465 Ph: () - | Kendra Poole Inc 334 Backbone Rd E Princeton IL 61356-9685 Ph: (815) 303-4668 |
NPI Number | 1831854744 |
---|---|
Provider Enumeration Date | 11/04/2021 |
Last Update Date | 07/12/2022 |
Medicare PECOS PAC ID | 4385038322 |
---|---|
Medicare Enrollment ID | O20220308001498 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831854744 | NPI | - | NPPES |
1831854744 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Provider Name | Kendra Mae Poole |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700480662 PECOS PAC ID: 4587072798 Enrollment ID: I20210427002526 |
Ketan R Patel Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Park Ave E, Suite 101, Princeton, IL 61356 Phone: 815-872-1221 Fax: 815-872-2304 | |
Louis J. Foley, M.d. Gynecology, Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Park Ave E, Suite 205, Princeton, IL 61356 Phone: 815-872-9491 Fax: 815-875-4060 | |
Osf Healthcare - Prompt Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2128 N Main St, Princeton, IL 61356 Phone: 815-875-2273 Fax: 815-207-8682 | |
Osf Healthcare System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Park Ave E Ste 303b, Princeton, IL 61356 Phone: 815-875-2811 | |
Perry Memorial Podiatry Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 530 Park Ave E Ste 306, Princeton, IL 61356 Phone: 815-876-3033 Fax: 815-876-3003 | |
Osf Healthcare - Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 535 Park Ave E, Princeton, IL 61356 Phone: 815-875-4531 Fax: 815-876-2118 | |
Gregg E Davis Md Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 204 Park Ave E, Princeton, IL 61356 Phone: 815-879-3212 Fax: 815-879-8602 |