Danielle Larsen, NP | |
1039 Brookforest Ave, Shorewood, IL 60404-8849 | |
(815) 733-5952 | |
(815) 280-0797 |
Full Name | Danielle Larsen |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1039 Brookforest Ave, Shorewood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457004962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 209024406 (Illinois) | Primary |
Entity Name | E Mediate Cure Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780051466 PECOS PAC ID: 4587974332 Enrollment ID: O20151105002342 |
Mailing Address | Practice Location Address |
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Danielle Larsen, NP 1039 Brookforest Ave, Shorewood, IL 60404-8849 Ph: (815) 733-5952 | Danielle Larsen, NP 1039 Brookforest Ave, Shorewood, IL 60404-8849 Ph: (815) 733-5952 |
Alesha Young, APN FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1155 W Jefferson St, Shorewood, IL 60404 Phone: 708-650-5137 | |
Ms. Lori Jones, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 W Jefferson St, Shorewood, IL 60404 Phone: 815-741-2883 Fax: 815-741-2860 | |
Kelechi Chima, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 509 Northgate Ln, Shorewood, IL 60404 Phone: 708-698-3627 | |
Mrs. Traci Lynne Keyster, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 W Jefferson St, Shorewood, IL 60404 Phone: 815-729-1144 | |
Jennifer Yanak, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1039 Brookforest Ave, Shorewood, IL 60404 Phone: 815-733-5952 Fax: 815-280-0797 | |
Amy Vertin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1039 Brookforest Ave, Shorewood, IL 60404 Phone: 815-733-5952 | |
Jennifer Mele, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1039 Brookforest Ave, Shorewood, IL 60404 Phone: 630-978-9754 |