| Amanda K Honchell I, NP | |
|
401 W Madison St, Mount Carroll, IL 61053-9485 | |
| (815) 244-4489 | |
| Not Available |
| Full Name | Amanda K Honchell I |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 401 W Madison St, Mount Carroll, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770048910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 209018289 (Illinois) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 209018289 (Illinois) | Primary |
| Entity Name | Chestnut Health Of Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588043939 PECOS PAC ID: 2264747344 Enrollment ID: O20150819006369 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda K Honchell I, NP 401 W Madison St, Mount Carroll, IL 61053-9485 Ph: (815) 244-4489 | Amanda K Honchell I, NP 401 W Madison St, Mount Carroll, IL 61053-9485 Ph: (815) 244-4489 |
Angela K Conklin, APN/CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1120 Healthcare Dr, Mount Carroll, IL 61053 Phone: 815-244-4181 Fax: 815-244-4185 | |
Katelin Marie Breuning, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10736 Getz Rd, Mount Carroll, IL 61053 Phone: 815-266-9021 |