| Beata Kaczkowski, NP-C | |
|
2020 E Grand Ave, Lindenhurst, IL 60046-9069 | |
| (866) 389-2727 | |
| Not Available |
| Full Name | Beata Kaczkowski |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 2020 E Grand Ave, Lindenhurst, 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 |
|---|---|---|---|
| 1548787831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.016308 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Embrace Behavioral Health | 5698122109 | 3 |
| Minuteclinic Primary Care Illinois Pllc | 7416471842 | 100 |
| Minuteclinic Diagnostic Of Illinois Pllc | 8729171566 | 108 |
| Entity Name | Minuteclinic Diagnostic Of Illinois Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356485809 PECOS PAC ID: 8729171566 Enrollment ID: O20070910000607 |
| Entity Name | Embrace Behavioral Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376229617 PECOS PAC ID: 5698122109 Enrollment ID: O20231106000827 |
| Entity Name | Minuteclinic Primary Care Illinois Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528875564 PECOS PAC ID: 7416471842 Enrollment ID: O20250408000253 |
| Mailing Address | Practice Location Address |
|---|---|
| Beata Kaczkowski, NP-C 2020 E Grand Ave, Lindenhurst, IL 60046-9069 Ph: (866) 389-2727 | Beata Kaczkowski, NP-C 2020 E Grand Ave, Lindenhurst, IL 60046-9069 Ph: (866) 389-2727 |
Valerie Lea Streich, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2020 E Grand Ave, Lindenhurst, IL 60046 Phone: 866-389-2727 | |
Tarren Prange, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2020 E Grand Ave, Lindenhurst, IL 60046 Phone: 847-356-4302 |