Diantha O Hancock, is a
Registered Nurse based in Richton Park, Illinois. Diantha O Hancock is licensed to practice in Illinois (license number 041405861) and her current practice location is
22991 Kristine Ln, Richton Park, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 261-9934.
NPI number for Diantha O Hancock is 1912754391 and her current mailing address is 1808 Oxford Way, Joliet, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912754391.
Provider's Profile
| Full Name | Diantha O Hancock |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 22991 Kristine Ln, Richton Park, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1912754391
- Provider Enumeration Date: 05/02/2024
- Last Update Date: 05/02/2024
Medical Identifiers
Medical identifiers for Diantha O Hancock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912754391 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 041405861 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diantha O Hancock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Diantha O Hancock, 1808 Oxford Way, Joliet, IL 60431-7830 Ph: (779) 435-3669 | Diantha O Hancock, 22991 Kristine Ln, Richton Park, IL 60471-1273 Ph: (708) 261-9934 |
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