Kathy Wajda, | |
3880 Salem Lake Dr Ste F, Long Grove, IL 60047-5292 | |
(847) 719-2220 | |
(847) 719-2265 |
Full Name | Kathy Wajda |
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Gender | Female |
Speciality | Nurse Practitioner - Adult Health |
Location | 3880 Salem Lake Dr Ste F, Long Grove, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205327590 | NPI | - | NPPES |
209016851 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209-016851 (Illinois) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | 209016851 (Illinois) | Primary |
Entity Name | Best Practices Inpatient Care, Ltd. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619913522 PECOS PAC ID: 5799687372 Enrollment ID: O20040123000525 |
Entity Name | Kara Nance Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154613537 PECOS PAC ID: 0941478077 Enrollment ID: O20110715000528 |
Mailing Address | Practice Location Address |
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Kathy Wajda, 3880 Salem Lake Dr Ste F, Long Grove, IL 60047-5292 Ph: (847) 719-2220 | Kathy Wajda, 3880 Salem Lake Dr Ste F, Long Grove, IL 60047-5292 Ph: (847) 719-2220 |
Helen E Okorie, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 | |
Johnnie Dominica Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 | |
Mrs. Nicole Brooke Kinberg, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3880 Salem Lake Dr # F, Long Grove, IL 60047 Phone: 847-719-2220 | |
Rebecca Lynne Smith, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr # F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 | |
Julie A Grandolfo, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 | |
Miss Monica Lisa Bieszczad, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 | |
Angela Rose Depa, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3880 Salem Lake Dr Ste F, Long Grove, IL 60047 Phone: 847-719-2220 Fax: 847-719-2265 |