| Audrey L Mascitti, | |
|
266 Blazing Star Dr, Minooka, IL 60447-8433 | |
| (708) 966-9465 | |
| (708) 866-2038 |
| Full Name | Audrey L Mascitti |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 266 Blazing Star Dr, Minooka, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669037206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 277003370 (Illinois) | Primary |
| Entity Name | Paragon Clinical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114139946 PECOS PAC ID: 7214034925 Enrollment ID: O20070515000051 |
| Entity Name | Connections Medical Group Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548697618 PECOS PAC ID: 2365662517 Enrollment ID: O20141009002643 |
| Mailing Address | Practice Location Address |
|---|---|
| Audrey L Mascitti, 266 Blazing Star Dr, Minooka, IL 60447-8433 Ph: (708) 966-9465 | Audrey L Mascitti, 266 Blazing Star Dr, Minooka, IL 60447-8433 Ph: (708) 966-9465 |
Joan Kelley, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 309 Rivers Edge Dr, Minooka, IL 60447 Phone: 815-735-1408 | |
Jennifer Lynn Truhlar, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1413 Sherborn Ct S, Minooka, IL 60447 Phone: 815-549-6335 | |
Ashley Nicole Salerno, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 203 West Mondamin Street, Minooka, IL 60447 Phone: 708-717-3509 |