| Josephine Minnicino, MD | |
|
18408 Governors Hwy, Homewood, IL 60430-2911 | |
| (708) 647-0571 | |
| (708) 647-0676 |
| Full Name | Josephine Minnicino |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 18408 Governors Hwy, Homewood, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528637857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036167133 (Illinois) | Primary |
| Entity Name | Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730139031 PECOS PAC ID: 0244134682 Enrollment ID: O20031126000246 |
| Entity Name | Specialty Physicians Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124075676 PECOS PAC ID: 4183529456 Enrollment ID: O20031201000602 |
| Entity Name | Schuyler County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013969112 PECOS PAC ID: 9638076474 Enrollment ID: O20031218000430 |
| Entity Name | Blessingcare Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992038640 PECOS PAC ID: 2769420959 Enrollment ID: O20050419000684 |
| Mailing Address | Practice Location Address |
|---|---|
| Josephine Minnicino, MD 35318 Eagle Way, Chicago, IL 60678-1353 Ph: (317) 528-4800 | Josephine Minnicino, MD 18408 Governors Hwy, Homewood, IL 60430-2911 Ph: (708) 647-0571 |
William Cleveland Campbell, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18636 Dixie Hwy, Homewood, IL 60430 Phone: 708-647-0571 | |
Komal Mahendrakumar Patel, DO, MPH Family Medicine Medicare: Medicare Enrolled Practice Location: 18408 Governors Hwy, Homewood, IL 60430 Phone: 708-647-0571 Fax: 708-647-0676 | |
Yvonne Marie Jimenez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2840 Chayes Park Dr, Homewood, IL 60430 Phone: 708-935-2069 | |
Dr. Priya Shastri Md, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 17901 Governors Hwy Ste 100, Homewood, IL 60430 Phone: 708-213-7975 Fax: 708-213-7975 | |
Lisa K. Richardson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18636 Dixie Hwy, Homewood, IL 60430 Phone: 708-647-0571 Fax: 708-647-0676 |