| Eduardo J Cisneros, | |
|
5 Revere Dr Ste 200, Northbrook, IL 60062-8000 | |
| (312) 600-3991 | |
| (630) 473-2232 |
| Full Name | Eduardo J Cisneros |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 5 Revere Dr Ste 200, Northbrook, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861384513 | NPI | - | NPPES |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bespoke Psychiatry | 3274951744 | 51 |
| Entity Name | Bespoke Psychiatry |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952937104 PECOS PAC ID: 3274951744 Enrollment ID: O20200915002352 |
| Entity Name | The Ruth Institute of Integrative Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538745153 PECOS PAC ID: 1153720008 Enrollment ID: O20210525002542 |
| Mailing Address | Practice Location Address |
|---|---|
| Eduardo J Cisneros, 4824 N Tripp Ave, Chicago, IL 60630-2721 Ph: (312) 320-1971 | Eduardo J Cisneros, 5 Revere Dr Ste 200, Northbrook, IL 60062-8000 Ph: (312) 600-3991 |
Linda Marie Kolka, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 333 Skokie Blvd Ste 112, Northbrook, IL 60062 Phone: 224-205-7866 Fax: 224-205-7865 |
Laura Makeever, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2100 Sanders Rd, Suite 100, Northbrook, IL 60062 Phone: 847-272-7338 Fax: 847-272-7380 |
Mirna Misseha, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2215 Sanders Rd Ste 110n, Northbrook, IL 60062 Phone: 708-914-5145 |
Kelly Marie Johnson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Skokie Blvd, Northbrook, IL 60062 Phone: 847-291-3999 |
Johanna Katigbak, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 666 Dundee Rd, Northbrook, IL 60062 Phone: 847-498-1515 Fax: 837-498-2362 |
Pascale Daou, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Skokie Blvd Ste 110, Northbrook, IL 60062 Phone: 224-407-4400 |
Alexis Oduyale, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 60 Revere Dr Ste 100, Northbrook, IL 60062 Phone: 224-306-1879 Fax: 224-306-1878 |