| Longevity Accountable Care, Pa | |
|
6300 N California Ave Chicago IL 60659-1702 | |
| (773) 973-1900 | |
| Not Available |
| Full Name | Longevity Accountable Care, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 6300 N California Ave, Chicago, Illinois |
| Authorized Official Name and Position | Diane Vincur (PRACTICE MANAGER) |
| Authorized Official Contact | 5618152427 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Longevity Accountable Care, Pa 11780 Us Highway 1 Ste N107 North Palm Beach FL 33408-3007 Ph: (561) 815-2427 | Longevity Accountable Care, Pa 6300 N California Ave Chicago IL 60659-1702 Ph: (773) 973-1900 |
| NPI Number | 1144078965 |
|---|---|
| Provider Enumeration Date | 05/07/2024 |
| Last Update Date | 05/07/2024 |
| Medicare PECOS PAC ID | 0840734034 |
|---|---|
| Medicare Enrollment ID | O20240717003454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144078965 | NPI | - | NPPES |
| Provider Name | Maria P Sayi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497203434 PECOS PAC ID: 1658668926 Enrollment ID: I20160930000009 |
| Provider Name | Habiba P Bracero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598255689 PECOS PAC ID: 8921354978 Enrollment ID: I20180703003240 |
| Provider Name | Melissa Nancy Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740830777 PECOS PAC ID: 7810325214 Enrollment ID: I20200318001624 |
| Provider Name | Krutikaben V Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861013823 PECOS PAC ID: 7113343765 Enrollment ID: I20200813002224 |
| Provider Name | Viktoriya Rouse-freeman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932747078 PECOS PAC ID: 8729479944 Enrollment ID: I20211223001506 |
| Provider Name | Nimmy Merin Baby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508502980 PECOS PAC ID: 3476932682 Enrollment ID: I20220617002194 |
| Provider Name | Sheila E Lambi-oben |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134549942 PECOS PAC ID: 6406959477 Enrollment ID: I20240718000932 |
| Provider Name | Ancy Pappan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811508799 PECOS PAC ID: 4789086927 Enrollment ID: I20241111002258 |
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