| Chanel Smith, FNP-C | |
|
205 Timberlane Rd, Matteson, IL 60443-1040 | |
| (708) 654-8999 | |
| Not Available |
| Full Name | Chanel Smith |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 205 Timberlane Rd, Matteson, 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 |
|---|---|---|---|
| 1245928589 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209-027275 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverside Medical Center | Kankakee, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Riverside Health System | 3274434717 | 157 |
| Entity Name | Riverside Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780 |
| Entity Name | Hansa Medical Groupe Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386804615 PECOS PAC ID: 5092881417 Enrollment ID: O20080909000726 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Chanel Smith, FNP-C 205 Timberlane Rd, Matteson, IL 60443-1040 Ph: (708) 654-8999 | Chanel Smith, FNP-C 205 Timberlane Rd, Matteson, IL 60443-1040 Ph: (708) 654-8999 |
Claressa Hawkins, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Holiday Plaza Dr Ste 501, Matteson, IL 60443 Phone: 312-437-1023 | |
Mrs. Ukachi O. Nwankpa, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1013 Warwick Dr, Matteson, IL 60443 Phone: 773-407-7814 Fax: 708-980-2953 | |
Ann M Waldron, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20939 S Cicero Ave, Matteson, IL 60443 Phone: 708-679-2370 | |
Dr. Natalia Marie Sanfratello, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 402 Town Center Rd, Matteson, IL 60443 Phone: 708-852-5179 | |
Ms. Zenobia Clark, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3442 218th Pl, Matteson, IL 60443 Phone: 708-724-8498 | |
Carmella Jackson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 916 School Ave, Matteson, IL 60443 Phone: 773-941-1587 |