| Paul Ninnemann, | |
|
1909 Cheker Sq, Hazel Crest, IL 60429-1442 | |
| (708) 444-1012 | |
| Not Available |
| Full Name | Paul Ninnemann |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 16 Years |
| Location | 1909 Cheker Sq, Hazel Crest, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760863542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149021791 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Midwest Post Acute Care Pllc | 0143547117 | 63 |
| Entity Name | Midwest Post Acute Care Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083012074 PECOS PAC ID: 0143547117 Enrollment ID: O20150401000634 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Ninnemann, 17746 Oak Park Ave, Tinley Park, IL 60477-3936 Ph: () - | Paul Ninnemann, 1909 Cheker Sq, Hazel Crest, IL 60429-1442 Ph: (708) 444-1012 |
Vienne Reid, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 3330 W 177th St, Suite 1f, Hazel Crest, IL 60429 Phone: 708-460-9833 Fax: 708-460-1117 | |
Mrs. Gloria Jean Bashir, LAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3714 River Rd, Hazel Crest, IL 60429 Phone: 708-533-9379 | |
Susan E Zeitner, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3330 W 177th St, Suite 1f, Hazel Crest, IL 60429 Phone: 708-745-3040 Fax: 708-799-1889 | |
Robert Emil Thurman Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 330 W. 177th Street, Suite 1f, Hazel Crest, IL 60430 Phone: 773-653-9467 Fax: 773-799-1889 | |
Rashida C Fearn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3330 W 177th St, Suite 1-f, Hazel Crest, IL 60429 Phone: 773-450-1044 | |
Jill M. Martinez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3330 W 177th St Ste 1f, Hazel Crest, IL 60429 Phone: 708-745-3040 | |
Ms. Nekeia M Wilson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3330 W 177th St, Suite 1f, Hazel Crest, IL 60429 Phone: 312-925-0090 |