| Dr Teddy Enoh, MD | |
|
4127 Osbron St, Plano, IL 60545-1498 | |
| (630) 340-0490 | |
| Not Available |
| Full Name | Dr Teddy Enoh |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Acute Care |
| Location | 4127 Osbron St, Plano, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114484185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 209031044 (Illinois) | Primary |
| Entity Name | Physicians To You Home Health Limited |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184983223 PECOS PAC ID: 5193972164 Enrollment ID: O20120827000228 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Entity Name | Skyline Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972324200 PECOS PAC ID: 7517493455 Enrollment ID: O20241216001304 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Teddy Enoh, MD 4127 Osbron St, Plano, IL 60545-1498 Ph: (630) 340-0490 | Dr Teddy Enoh, MD 4127 Osbron St, Plano, IL 60545-1498 Ph: (630) 340-0490 |
Joanne Garcon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 E South St Ste F, Plano, IL 60545 Phone: 630-552-7166 | |
Manju Daniel, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 E South St, Unit F, Plano, IL 60545 Phone: 630-552-7166 Fax: 630-552-7168 | |
Emily O'reilly, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 E South St Ste F, Plano, IL 60545 Phone: 630-552-7166 Fax: 630-552-7168 | |
Sarah Bennett, MS, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3840 Munson St, Plano, IL 60545 Phone: 630-618-9147 |