| Imelda Homecgoy, | |
|
1155 W Jefferson St, Shorewood, IL 60404-0701 | |
| (815) 741-5023 | |
| Not Available |
| Full Name | Imelda Homecgoy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 1155 W Jefferson St, Shorewood, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487010534 | NPI | - | NPPES |
| 209.013686 | Other | IL | LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.013686 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Minuteclinic Primary Care Illinois Pllc | 7416471842 | 100 |
| Minuteclinic Diagnostic Of Illinois Pllc | 8729171566 | 108 |
| Entity Name | Minuteclinic Diagnostic Of Illinois Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356485809 PECOS PAC ID: 8729171566 Enrollment ID: O20070910000607 |
| Entity Name | Illinois Post-acute Medical Services 1 Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952830853 PECOS PAC ID: 6305112103 Enrollment ID: O20171023002483 |
| Entity Name | Baal Perazim Wellness Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215403530 PECOS PAC ID: 7618218587 Enrollment ID: O20190607000040 |
| Entity Name | Minuteclinic Video Virtual Care North Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518512227 PECOS PAC ID: 1254762297 Enrollment ID: O20200620000026 |
| Entity Name | Nv Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210804000886 |
| Entity Name | Baal Perazim Wellness And Health Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376153437 PECOS PAC ID: 2567834666 Enrollment ID: O20230220001241 |
| Entity Name | Minuteclinic Primary Care Illinois Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528875564 PECOS PAC ID: 7416471842 Enrollment ID: O20250408000253 |
| Mailing Address | Practice Location Address |
|---|---|
| Imelda Homecgoy, 1155 W Jefferson St, Shorewood, IL 60404-0701 Ph: (815) 741-5203 | Imelda Homecgoy, 1155 W Jefferson St, Shorewood, IL 60404-0701 Ph: (815) 741-5023 |
Ms. Lori Jones, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 W Jefferson St, Shorewood, IL 60404 Phone: 815-741-2883 Fax: 815-741-2860 | |
Kelechi Chima, Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 509 Northgate Ln, Shorewood, IL 60404 Phone: 708-698-3627 | |
Mrs. Traci Lynne Keyster, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 W Jefferson St, Shorewood, IL 60404 Phone: 815-729-1144 | |
Jennifer Yanak, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1039 Brookforest Ave, Shorewood, IL 60404 Phone: 815-733-5952 Fax: 815-280-0797 | |
Amy Vertin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1039 Brookforest Ave, Shorewood, IL 60404 Phone: 815-733-5952 | |
Jennifer Mele, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1039 Brookforest Ave, Shorewood, IL 60404 Phone: 630-978-9754 | |
Sharelle Mershon, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 505 S Raven Rd, Shorewood, IL 60404 Phone: 217-775-2220 |