| Deepa Vallikat, APN | |
|
979 W Main St Ste 201, West Dundee, IL 60118-2095 | |
| (847) 426-9396 | |
| (847) 426-1086 |
| Full Name | Deepa Vallikat |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 979 W Main St Ste 201, West Dundee, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407241425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209012366 (Illinois) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 209012366 (Illinois) | Secondary |
| Entity Name | Advocate Health and Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Entity Name | Physicians Immediate Care North Chicago LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205814118 PECOS PAC ID: 8729064159 Enrollment ID: O20040626000381 |
| Entity Name | Signify Health Medical Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190507001451 |
| Mailing Address | Practice Location Address |
|---|---|
| Deepa Vallikat, APN 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Deepa Vallikat, APN 979 W Main St Ste 201, West Dundee, IL 60118-2095 Ph: (847) 426-9396 |
Kimberly Wessendorf, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 979 W Main St, West Dundee, IL 60118 Phone: 847-426-9396 |
Mrs. Kimberly D Zito, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 979 W Main St, West Dundee, IL 60118 Phone: 224-802-2680 |
Ms. Erika Oceguera, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 979 W Main St, West Dundee, IL 60118 Phone: 847-426-9396 Fax: 847-426-1086 |
Purvi Gor Shah, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2786 Connolly Ln, West Dundee, IL 60118 Phone: 713-820-8576 |
Jennifer Glasshagel, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 754 S 8th St, West Dundee, IL 60118 Phone: 847-892-4047 |
Mrs. Jasmin Buthman, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 979 W Main St Ste 201, West Dundee, IL 60118 Phone: 847-426-9396 Fax: 847-426-1086 |
Daxa Patel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 754 S 8th St, West Dundee, IL 60118 Phone: 847-836-5202 |