| Jessica M Nicholson, DO | |
|
17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | |
| (708) 213-3800 | |
| (708) 213-0142 |
| Full Name | Jessica M Nicholson |
|---|---|
| Gender | Female |
| Speciality | Psychiatry |
| Experience | 16 Years |
| Location | 17800 Kedzie Ave, Hazel Crest, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033435557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036.131342 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Trinity Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advocate Health And Hospitals Corporation | 7810800935 | 3066 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Riverside Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica M Nicholson, DO 29373 Network Pl, Chicago, IL 60673-2940 Ph: (847) 390-5900 | Jessica M Nicholson, DO 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 Ph: (708) 213-3800 |
Shahzaib Khan, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-3800 | |
Dr. Amarjit Singh Bhasin, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 17680 Kedzie Ave, Suite 105, Hazel Crest, IL 60429 Phone: 708-799-3044 Fax: 708-799-2441 | |
Dr. Usha D Malkerneker, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 17100 Dixie Hwy Ste D, Hazel Crest, IL 60429 Phone: 708-335-1155 Fax: 708-335-1171 | |
Scott E Lipson, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3330 W 177th St, Suite 3c, Hazel Crest, IL 60429 Phone: 708-799-6799 Fax: 708-799-6991 | |
Dr. Eric James Ericson, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3330 W 177th St, Suite 3c, Hazel Crest, IL 60429 Phone: 708-799-6799 Fax: 708-799-6991 |