Gaelle Thiam Dwomoh, APRN | |
8816 W Dempster St, Niles, IL 60714-5109 | |
(847) 723-7052 | |
(847) 842-0675 |
Full Name | Gaelle Thiam Dwomoh |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 8816 W Dempster St, Niles, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831864099 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.023744 (Illinois) | Primary |
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Entity Name | Hcr Manorcare Medical Services Of Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386750420 PECOS PAC ID: 2264338532 Enrollment ID: O20050406000847 |
Entity Name | Renew Wound Care Of Illinois Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578146882 PECOS PAC ID: 7315356219 Enrollment ID: O20210505002138 |
Mailing Address | Practice Location Address |
---|---|
Gaelle Thiam Dwomoh, APRN 29373 Network Pl, Chicago, IL 60673-1916 Ph: (847) 390-5900 | Gaelle Thiam Dwomoh, APRN 8816 W Dempster St, Niles, IL 60714-5109 Ph: (847) 723-7052 |
Anna Krok, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7177 N Milwaukee Ave, Niles, IL 60714 Phone: 847-719-7231 | |
Adrianna M Kocik, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7900 N Milwaukee Ave Ste 2-29, Niles, IL 60714 Phone: 847-454-9181 Fax: 847-454-9184 | |
Jinu Joss, MSN,AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9939 N Warren Oval, Niles, IL 60714 Phone: 309-868-7216 | |
Diana Heskin, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7900 N Milwaukee Ave Ste 2-24, Niles, IL 60714 Phone: 847-825-0800 | |
Queenester B Gray, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5940 W Touhy Ave Ste 370, Niles, IL 60714 Phone: 708-428-2996 Fax: 708-400-9078 | |
Annette Fontanez, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7900 N Milwaukee Ave Ste 18, Niles, IL 60714 Phone: 847-663-9700 Fax: 847-663-9702 | |
Miss Diane Rose Baboulas, APN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8816 W Dempster St, Niles, IL 60714 Phone: 847-723-7052 Fax: 847-824-0675 |