| Juan P Mercado, APN | |
|
164 Division St, 607, Elgin, IL 60120-5587 | |
| (847) 695-1093 | |
| (847) 695-0501 |
| Full Name | Juan P Mercado |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 164 Division St, Elgin, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962719419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209008311 (Illinois) | Primary |
| Entity Name | Mcdermott Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457004046 PECOS PAC ID: 7517354178 Enrollment ID: O20220428002128 |
| Mailing Address | Practice Location Address |
|---|---|
| Juan P Mercado, APN 2943 W 71st St, Chicago, IL 60629-3047 Ph: (630) 842-2614 | Juan P Mercado, APN 164 Division St, 607, Elgin, IL 60120-5587 Ph: (847) 695-1093 |
Jacob Thomas Baker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1530 N Randall Rd Ste 210, Elgin, IL 60123 Phone: 224-760-7322 |
Caroline Odior Shodunola, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11 Douglas Ave Ste 253, Elgin, IL 60120 Phone: 224-342-5417 Fax: 224-857-2573 |
David Woods, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Douglas Ave Ste 273, Elgin, IL 60120 Phone: 847-595-0620 |
Shay Lynn Ward, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1752 Capital St, Elgin, IL 60124 Phone: 847-695-3680 Fax: 847-695-4552 |
Tiffany Robinson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 S Grove Ave Unit 308, Elgin, IL 60120 Phone: 312-581-8000 |
Alyssa Marie Cowing, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1530 N Randall Rd Ste 210, Elgin, IL 60123 Phone: 224-760-7322 |
Jaclyn Mastrangeli, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1425 N Randall Rd, Elgin, IL 60123 Phone: 847-742-9800 |