| Elysia Cappellucci, APN | |
|
2650 Ridge Ave, Evanston, IL 60201-1700 | |
| (847) 570-2560 | |
| Not Available |
| Full Name | Elysia Cappellucci |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 2650 Ridge Ave, Evanston, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740681048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209030057 (Illinois) | Primary |
| 363LF0000X | Nurse Practitioner - Family | RN2269716 (Massachusetts) | Secondary |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
| Entity Name | Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720037385 PECOS PAC ID: 4486567104 Enrollment ID: O20031203000426 |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
| Mailing Address | Practice Location Address |
|---|---|
| Elysia Cappellucci, APN 4901 Searle Pkwy, Skokie, IL 60077-5313 Ph: () - | Elysia Cappellucci, APN 2650 Ridge Ave, Evanston, IL 60201-1700 Ph: (847) 570-2560 |
Marlene Angelico, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Emergency Medicine, Rm G903c, Evanston, IL 60201 Phone: 847-570-1355 Fax: 847-570-1223 | |
Emily Pableo Pinol, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-982-3811 | |
Reba Elizabeth Mathew, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Asbury Ave # 316-3320, Evanston, IL 60202 Phone: 847-316-3320 | |
Mrs. Monika Marrero, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-425-6400 | |
Holly Rene, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-1027 | |
Manijeh Ghafouri, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Central St, Evanston, IL 60201 Phone: 847-869-3800 | |
Regina Munoz, APN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Central St Ste 610, Evanston, IL 60201 Phone: 847-570-1029 Fax: 847-733-5318 |