| Traditions Health | |
|
1n131 County Farm Rd Winfield IL 60190-2000 | |
| (630) 682-3871 | |
| (800) 886-2089 |
| Full Name | Traditions Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1n131 County Farm Rd, Winfield, Illinois |
| Authorized Official Name and Position | John Kerndl (CFO & SECRETARY) |
| Authorized Official Contact | 9797046547 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Traditions Health 6840 Carothers Pkwy Ste 550 Franklin TN 37067-8002 Ph: (979) 704-4657 | Traditions Health 1n131 County Farm Rd Winfield IL 60190-2000 Ph: (630) 682-3871 |
| NPI Number | 1861110116 |
|---|---|
| Provider Enumeration Date | 08/22/2022 |
| Last Update Date | 06/24/2024 |
| Medicare PECOS PAC ID | 9739592569 |
|---|---|
| Medicare Enrollment ID | O20221101000226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861110116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Lisa Nannie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417962937 PECOS PAC ID: 9638115322 Enrollment ID: I20050705000220 |
| Provider Name | Muhammad N Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598767493 PECOS PAC ID: 8729004908 Enrollment ID: I20060407000058 |
| Provider Name | Erin Rachford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447910468 PECOS PAC ID: 3375910474 Enrollment ID: I20221102001730 |
| Provider Name | Merideth Apn Chapman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801552195 PECOS PAC ID: 9830562586 Enrollment ID: I20230301000221 |
| Provider Name | Stephanie Calderas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649867003 PECOS PAC ID: 4082079124 Enrollment ID: I20230425002385 |
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