| Helena Davis, FNP-BC | |
|
9654 W 131st St Unit 205, Palos Park, IL 60464-1640 | |
| (708) 480-2650 | |
| (708) 575-2876 |
| Full Name | Helena Davis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 9654 W 131st St Unit 205, Palos Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871969626 | NPI | - | NPPES |
| 208013064 | Other | IL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209013064 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209013064 (Illinois) | Primary |
| Entity Name | Vpa Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174925663 PECOS PAC ID: 9234041948 Enrollment ID: O20040312001189 |
| Mailing Address | Practice Location Address |
|---|---|
| Helena Davis, FNP-BC 9654 W 131st Street, Unit 205, Palos Park, IL 60464 Ph: (773) 844-6869 | Helena Davis, FNP-BC 9654 W 131st St Unit 205, Palos Park, IL 60464-1640 Ph: (708) 480-2650 |
Kimberly Zoellick, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8100 W 119th St Ste 400, Palos Park, IL 60464 Phone: 708-361-3300 | |
Michelle L Dalton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13011 S 104th Ave Ste 100, Palos Park, IL 60464 Phone: 815-830-9244 | |
Sara Perisin, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13011 S 104th Ave Ste 100, Palos Park, IL 60464 Phone: 708-274-3278 Fax: 708-274-3299 | |
Ms. Danielle Patrice Poulos, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13011 S 104th Ave Ste 100, Palos Park, IL 60464 Phone: 708-274-3278 Fax: 708-274-3299 | |
Jessica M Marganski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13011 S 104th Ave Ste 100, Palos Park, IL 60464 Phone: 708-274-3278 | |
Mrs. Molly Hughes Mcdowell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8100 W 119th Street, Palos Park, IL 60464 Phone: 708-361-3300 |