| Brogan Repp, | |
|
34159 N Hainesville Rd, Round Lake, IL 60073-9790 | |
| (847) 722-0063 | |
| Not Available |
| Full Name | Brogan Repp |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 34159 N Hainesville Rd, Round Lake, 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 |
|---|---|---|---|
| 1295431823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209027936 (Illinois) | Primary |
| 163W00000X | Registered Nurse | 041413004 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwestern Medicine Mchenry Hospital | Mchenry, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northwestern Medical Faculty Foundation | 4587576814 | 4386 |
| Central Dupage Physician Group | 5890696231 | 1087 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Mailing Address | Practice Location Address |
|---|---|
| Brogan Repp, 34159 N Hainesville Rd, Round Lake, IL 60073-9790 Ph: (847) 722-0063 | Brogan Repp, 34159 N Hainesville Rd, Round Lake, IL 60073-9790 Ph: (847) 722-0063 |
Mrs. Monica Irina Cervantes, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 465 W Highplains Rd, Round Lake, IL 60073 Phone: 773-430-0686 |
Mrs. Olamide Elizabeth Adejola, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 593 N Overlook Trl, Round Lake, IL 60073 Phone: 773-793-1984 |