| Mhn Infusions Group Llc | |
|
1369 E Hyde Park Blvd Unit G1 Chicago IL 60615-2918 | |
| (214) 566-8175 | |
| Not Available |
| Full Name | Mhn Infusions Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1369 E Hyde Park Blvd Unit G1, Chicago, Illinois |
| Authorized Official Name and Position | Felix Leshey (PRESIDENT) |
| Authorized Official Contact | 2145668175 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mhn Infusions Group Llc 1369 E Hyde Park Blvd Unit G1 Chicago IL 60615-2918 Ph: () - | Mhn Infusions Group Llc 1369 E Hyde Park Blvd Unit G1 Chicago IL 60615-2918 Ph: (214) 566-8175 |
| NPI Number | 1174380885 |
|---|---|
| Provider Enumeration Date | 02/29/2024 |
| Last Update Date | 02/29/2024 |
| Medicare PECOS PAC ID | 9335682962 |
|---|---|
| Medicare Enrollment ID | O20240624001459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174380885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Tiffany Nix |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528629938 PECOS PAC ID: 8729314117 Enrollment ID: I20190723001924 |
| Provider Name | Oluwatosin Ijale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245991397 PECOS PAC ID: 9133580715 Enrollment ID: I20230728002294 |
| Provider Name | Rosa Vera King |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710368352 PECOS PAC ID: 3779021407 Enrollment ID: I20240813002823 |
| Provider Name | Delores Martin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104176072 PECOS PAC ID: 6305379785 Enrollment ID: I20241023002986 |
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