| Jean K Kombwa, APN | |
|
26w212 Geneva Rd, Carol Stream, IL 60188-2240 | |
| (630) 510-1065 | |
| (630) 389-0023 |
| Full Name | Jean K Kombwa |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 26w212 Geneva Rd, Carol Stream, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083266878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.019928 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F06190486 (Illinois) | Primary |
| 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 | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190507001451 |
| Mailing Address | Practice Location Address |
|---|---|
| Jean K Kombwa, APN 1150 Coldspring Rd, Elgin, IL 60120-5102 Ph: (847) 890-2208 | Jean K Kombwa, APN 26w212 Geneva Rd, Carol Stream, IL 60188-2240 Ph: (630) 510-1065 |
Grace Lezon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 289 S President St, Carol Stream, IL 60188 Phone: 847-732-2677 | |
Barbara C Kopchak, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 630 E North Ave, Carol Stream, IL 60188 Phone: 630-861-6663 | |
Mrs. Lydia E Odell, MSN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 630 E North Ave, Carol Stream, IL 60188 Phone: 630-861-6663 Fax: 630-861-0758 | |
Loren Weese, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 545 Belmont Ln, Carol Stream, IL 60188 Phone: 630-523-8972 | |
Raleigh Guerrero, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1189 N Gary Ave, Carol Stream, IL 60188 Phone: 630-517-5674 | |
Caitlin Louise Linder, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 798 W Army Trail Rd, Carol Stream, IL 60188 Phone: 630-233-8343 |