Alyssa Goergen, | |
4700 Gilbert Ave Ste 51, Western Springs, IL 60558-1664 | |
(708) 387-1737 | |
Not Available |
Full Name | Alyssa Goergen |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 4700 Gilbert Ave Ste 51, Western Springs, 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 |
---|---|---|---|
1457026320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209.023500 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventist La Grange Memorial Hospital | La grange, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Illinois Bone And Joint Institute Llc | 6002814878 | 519 |
Legacy Healthcare Services Inc | 2163339722 | 2654 |
Entity Name | Illinois Bone And Joint Institute Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205922432 PECOS PAC ID: 6002814878 Enrollment ID: O20061110000331 |
Mailing Address | Practice Location Address |
---|---|
Alyssa Goergen, 900 Rand Rd Ste 300, Des Plaines, IL 60016-2359 Ph: (847) 324-3976 | Alyssa Goergen, 4700 Gilbert Ave Ste 51, Western Springs, IL 60558-1664 Ph: (708) 387-1737 |
Susan Marie Costello, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4471 Lawn Ave Ste 202, Western Springs, IL 60558 Phone: 708-428-7890 | |
Janis Noone, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4700 Gilbert Ave, Suite 52, 51, Western Springs, IL 60558 Phone: 708-387-1737 Fax: 708-794-8672 |