| Da Som Jang, DNP | |
|
1406 Chicago Ave, Evanston, IL 60201-4727 | |
| (847) 328-6503 | |
| Not Available |
| Full Name | Da Som Jang |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 1406 Chicago Ave, Evanston, 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 |
|---|---|---|---|
| 1477261089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041457288 (Illinois) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209026698 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mugen Psychiatry Llc | 6002201613 | 15 |
| Entity Name | Mugen Psychiatry Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861146284 PECOS PAC ID: 6002201613 Enrollment ID: O20220317002086 |
| Mailing Address | Practice Location Address |
|---|---|
| Da Som Jang, DNP 3023 N Clark St Ste 593, Chicago, IL 60657-5200 Ph: (312) 926-2000 | Da Som Jang, DNP 1406 Chicago Ave, Evanston, IL 60201-4727 Ph: (847) 328-6503 |
Marlene Angelico, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Emergency Medicine, Rm G903c, Evanston, IL 60201 Phone: 847-570-1355 Fax: 847-570-1223 | |
Emily Pableo Pinol, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-982-3811 | |
Reba Elizabeth Mathew, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Asbury Ave # 316-3320, Evanston, IL 60202 Phone: 847-316-3320 | |
Mrs. Monika Marrero, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-425-6400 | |
Holly Rene, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-1027 | |
Manijeh Ghafouri, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Central St, Evanston, IL 60201 Phone: 847-869-3800 | |
Regina Munoz, APN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Central St Ste 610, Evanston, IL 60201 Phone: 847-570-1029 Fax: 847-733-5318 |