| Jerry Shelby, NP | |
|
24047 W Lockport St, Plainfield, IL 60544-2205 | |
| (815) 201-0573 | |
| (815) 513-6178 |
| Full Name | Jerry Shelby |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 7 Years |
| Location | 24047 W Lockport St, Plainfield, 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 |
|---|---|---|---|
| 1194355685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209020743 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Emergency Physicians Llc | 1850657180 | 49 |
| Entity Name | E Mediate Cure Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780051466 PECOS PAC ID: 4587974332 Enrollment ID: O20151105002342 |
| Entity Name | Aurora Emergency Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407379423 PECOS PAC ID: 1850657180 Enrollment ID: O20171102000998 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Shelby, NP 1860 Paysphere Cir, Chicago, IL 60674-0018 Ph: (630) 469-9200 | Jerry Shelby, NP 24047 W Lockport St, Plainfield, IL 60544-2205 Ph: (815) 201-0573 |
Donna J. Petko, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1808 Great Falls Dr, Plainfield, IL 60586 Phone: 630-768-7244 | |
Megan Klupshas, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16310 S Lincoln Hwy, Plainfield, IL 60586 Phone: 815-782-8440 | |
Angela Zak, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24801 W 135th St, Plainfield, IL 60544 Phone: 800-323-8622 Fax: 224-225-0356 | |
Reeya Shah, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11612 Century Cir, Plainfield, IL 60585 Phone: 848-809-8299 | |
Phillip L Schorfheide, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16808 Arbor Creek Dr, Plainfield, IL 60586 Phone: 773-391-3600 | |
Nicole Lynn Zavala, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24012 W Renwick Rd Unit 14, Plainfield, IL 60544 Phone: 815-436-9393 | |
Harpreet Kaur Thandi, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26919 Summergrove Dr, Plainfield, IL 60585 Phone: 815-302-9427 |