| Jillian Radecki, APRN | |
|
9555 S 52nd Ave, Oak Lawn, IL 60453-3054 | |
| (708) 634-0950 | |
| (708) 634-0942 |
| Full Name | Jillian Radecki |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 9555 S 52nd Ave, Oak Lawn, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952018368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041452248 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209.026461 (Illinois) | Primary |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Zigma Visiting Physician Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093175804 PECOS PAC ID: 0547566994 Enrollment ID: O20160310000631 |
| Entity Name | Gatewaymd Live Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861214439 PECOS PAC ID: 3476080789 Enrollment ID: O20241227002123 |
| Mailing Address | Practice Location Address |
|---|---|
| Jillian Radecki, APRN 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Jillian Radecki, APRN 9555 S 52nd Ave, Oak Lawn, IL 60453-3054 Ph: (708) 634-0950 |
Danielle Robinson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St Ste 310, Oak Lawn, IL 60453 Phone: 708-684-9230 Fax: 708-684-9231 | |
Amy Simone, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4400 W 95th St Ste 404, Oak Lawn, IL 60453 Phone: 800-323-8622 | |
Andrea Christina Hammond, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5354 | |
Molly Ann Best, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5437 Fax: 708-684-4808 | |
Mr. Kevin Vermeer, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4061 W 95th St, Oak Lawn, IL 60453 Phone: 630-790-1872 Fax: 708-229-0090 | |
Diana Polkowska, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-612-6133 | |
Gloria Mudryj, MSN, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-2153 |