| Genti Manco, | |
|
675 W North Ave Ste 402, Melrose Park, IL 60160-1624 | |
| (708) 450-4551 | |
| Not Available |
| Full Name | Genti Manco |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 675 W North Ave Ste 402, Melrose Park, 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 |
|---|---|---|---|
| 1760936090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209014660 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nephrology Associates Of Northern Illinois Ltd | 2163328675 | 108 |
| Entity Name | Nephrology Associates Of Northern Illinois Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124069182 PECOS PAC ID: 2163328675 Enrollment ID: O20031208000313 |
| Mailing Address | Practice Location Address |
|---|---|
| Genti Manco, 120 W 22nd St Ste 200, Oak Brook, IL 60523-1563 Ph: (630) 573-5000 | Genti Manco, 675 W North Ave Ste 402, Melrose Park, IL 60160-1624 Ph: (708) 450-4551 |
Mrs. Elisabeth Janette Miwa, MSN, APRN, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 719 W North Ave, Melrose Park, IL 60160 Phone: 888-584-7888 | |
Fabiola Adriana Nava-lopez, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Kayla Perez, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 675 W North Ave Ste 402, Melrose Park, IL 60160 Phone: 708-450-4551 Fax: 708-681-9711 | |
Kimberly Nicole Stanford, CRNA Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 W North Ave, Anesthesia Department, Melrose Park, IL 60160 Phone: 708-681-7859 | |
Olukemi Aina, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1414 Main St, Melrose Park, IL 60160 Phone: 708-410-0615 | |
Sarena Richardson, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 153 1/2 Broadway St, Melrose Park, IL 60160 Phone: 708-345-8960 | |
Emily Casselbury, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1111 Superior St, Suite 104, Melrose Park, IL 60160 Phone: 708-486-2700 Fax: 708-486-2702 |