| Cindy Kohtz, FNP-BC | |
|
702 W Chestnut St, Bloomington, IL 61701-2814 | |
| (309) 557-1400 | |
| Not Available |
| Full Name | Cindy Kohtz |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 702 W Chestnut St, Bloomington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689264160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209021824 (Illinois) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209.021824 (Illinois) | Primary |
| Entity Name | Chestnut Health Systems, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366431686 PECOS PAC ID: 1052393063 Enrollment ID: O20040603000738 |
| Mailing Address | Practice Location Address |
|---|---|
| Cindy Kohtz, FNP-BC 448 Wylie Dr, Normal, IL 61761-5405 Ph: (161) 851-2180 | Cindy Kohtz, FNP-BC 702 W Chestnut St, Bloomington, IL 61701-2814 Ph: (309) 557-1400 |
Theresa Kauth, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 108 W Market St, Bloomington, IL 61701 Phone: 309-827-5351 Fax: 309-829-6808 | |
Cheryl Hansen, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3024 E Empire St, Bloomington, IL 61704 Phone: 309-454-4411 | |
Carey Harris, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3000 Fax: 309-664-3026 | |
Elizabeth Jeanne Igoe, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3024 E Empire St Ste A, Bloomington, IL 61704 Phone: 309-556-7800 Fax: 309-556-7804 | |
Ms. Linda Kay Wall, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 318 W Washington St, 3rd Floor, Bloomington, IL 61701 Phone: 309-827-4014 Fax: 309-828-6626 | |
Amy O'brien, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1401 Eastland Dr, Bloomington, IL 61701 Phone: 309-661-3360 Fax: 309-661-3390 | |
Mrs. Sonal Mukesh Patel, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3800 |