| Jennifer A Nichols, ACNPC-AG | |
|
701 Winthrop Ave, Glendale Heights, IL 60139-1405 | |
| (630) 545-8000 | |
| Not Available |
| Full Name | Jennifer A Nichols |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 701 Winthrop Ave, Glendale Heights, 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 |
|---|---|---|---|
| 1336745785 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209022126 (Illinois) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 209022126 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Methodist Medical Center Of Illinois | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Methodist Medical Center Of Illinois | 1355259714 | 283 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184670663 PECOS PAC ID: 1355259714 Enrollment ID: O20040315000196 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer A Nichols, ACNPC-AG 5143 Grand Ave, Downers Grove, IL 60515-5120 Ph: (630) 742-9419 | Jennifer A Nichols, ACNPC-AG 701 Winthrop Ave, Glendale Heights, IL 60139-1405 Ph: (630) 545-8000 |
Manuela Montoya, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 464 Gregory Ave Apt 1d, Glendale Heights, IL 60139 Phone: 224-717-2918 | |
Aaron Go, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 Winthrop Ave, Glendale Heights, IL 60139 Phone: 630-545-8000 | |
Annmary Kachappilly, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1045 Victoria Ln, Glendale Heights, IL 60139 Phone: 630-456-0307 | |
Ma Teresa Datoon Panganiban, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1920 Aspen Ln, Glendale Heights, IL 60139 Phone: 630-965-3354 | |
Ewa Maria Kinser, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 Winthrop Ave, Ambulatory Care, Glendale Heights, IL 60139 Phone: 630-545-4935 Fax: 630-592-2239 |