| Aida Altagracia Chicon, | |
|
4815 W 95th St, Oak Lawn, IL 60453-2501 | |
| (708) 499-2210 | |
| (708) 499-2250 |
| Full Name | Aida Altagracia Chicon |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 4815 W 95th St, Oak Lawn, 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 |
|---|---|---|---|
| 1750842522 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209018831 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Illinois Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Board Of Trustees Of The University Of Illinois | 3072422716 | 1058 |
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982824660 PECOS PAC ID: 3072422716 Enrollment ID: O20031126000669 |
| Entity Name | Osf Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1811016124 PECOS PAC ID: 4284541806 Enrollment ID: O20070504000101 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Entity Name | Laser Spine Center Of Chicago Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801303714 PECOS PAC ID: 4880959543 Enrollment ID: O20180530000336 |
| Mailing Address | Practice Location Address |
|---|---|
| Aida Altagracia Chicon, 11719 Blackburn Dr, Orland Park, IL 60467-1402 Ph: (708) 289-3242 | Aida Altagracia Chicon, 4815 W 95th St, Oak Lawn, IL 60453-2501 Ph: (708) 499-2210 |
Danielle Robinson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St Ste 310, Oak Lawn, IL 60453 Phone: 708-684-9230 Fax: 708-684-9231 | |
Amy Simone, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St Ste 404, Oak Lawn, IL 60453 Phone: 800-323-8622 | |
Andrea Christina Hammond, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5354 | |
Gabriel Marie Holtman, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4400 W 95th St Ste 106, Oak Lawn, IL 60453 Phone: 708-684-5580 Fax: 708-684-4068 | |
Molly Ann Best, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5437 Fax: 708-684-4808 | |
Mr. Kevin Vermeer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4061 W 95th St, Oak Lawn, IL 60453 Phone: 630-790-1872 Fax: 708-229-0090 | |
Diana Polkowska, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-612-6133 |