| Frontier Healthcare Systems Of Illinois Llc | |
|
20280 Governors Hwy Ste 102 Olympia Fields IL 60461-1068 | |
| (708) 234-0388 | |
| (708) 234-0394 |
| Full Name | Frontier Healthcare Systems Of Illinois Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 20280 Governors Hwy Ste 102, Olympia Fields, Illinois |
| Authorized Official Name and Position | Letasha Lewis (OWNER) |
| Authorized Official Contact | 9012834011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frontier Healthcare Systems Of Illinois Llc 900 Ogden Ave # 335 Downers Grove IL 60515-2829 Ph: (708) 234-0388 | Frontier Healthcare Systems Of Illinois Llc 20280 Governors Hwy Ste 102 Olympia Fields IL 60461-1068 Ph: (708) 234-0388 |
| NPI Number | 1053772020 |
|---|---|
| Provider Enumeration Date | 03/17/2016 |
| Last Update Date | 04/21/2026 |
| Certification Date | 04/21/2026 |
| Medicare PECOS PAC ID | 7214235779 |
|---|---|
| Medicare Enrollment ID | O20160415001926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053772020 | NPI | - | NPPES |
| 277001315 | Medicaid | IL |
| Provider Name | Teia L Atwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205165222 PECOS PAC ID: 0648305193 Enrollment ID: I20100323000194 |
| Provider Name | Patsy A Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972771251 PECOS PAC ID: 9739224130 Enrollment ID: I20120413000405 |
| Provider Name | Marcia Radja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164776670 PECOS PAC ID: 9335389113 Enrollment ID: I20130628000530 |
| Provider Name | Letasha Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033476080 PECOS PAC ID: 4587812920 Enrollment ID: I20160211002154 |
| Provider Name | Adwaa Y Dawud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629511068 PECOS PAC ID: 6507147659 Enrollment ID: I20170103001077 |
| Provider Name | Samantha A Baney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679128730 PECOS PAC ID: 3971831983 Enrollment ID: I20190828001627 |
| Provider Name | Emiliano Leal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902436801 PECOS PAC ID: 4789003880 Enrollment ID: I20200923000387 |
| Provider Name | Elizabeth Ang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053951467 PECOS PAC ID: 3375089030 Enrollment ID: I20240718002568 |
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