| Keisha D Brown, | |
|
22919 Ridgeway Ave, Richton Park, IL 60471-2548 | |
| (708) 359-5993 | |
| Not Available |
| Full Name | Keisha D Brown |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 22919 Ridgeway Ave, Richton Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518524032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 71016204A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209.018982 (Illinois) | Primary |
| Entity Name | Vpa Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174925663 PECOS PAC ID: 9234041948 Enrollment ID: O20040312001189 |
| Entity Name | Integrated Pain Management Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447290713 PECOS PAC ID: 2466427158 Enrollment ID: O20040826001155 |
| Entity Name | Midwest Express Care 2 Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548692890 PECOS PAC ID: 0547495467 Enrollment ID: O20131031001375 |
| Entity Name | Stellar Home Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588293633 PECOS PAC ID: 1153736442 Enrollment ID: O20230601002015 |
| Entity Name | Post Acute Medical Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730713025 PECOS PAC ID: 5193156115 Enrollment ID: O20240124001161 |
| Entity Name | Altea Medical Illinois Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447039227 PECOS PAC ID: 5799129730 Enrollment ID: O20240219001371 |
| Entity Name | Evocare Wound Solutions Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922827872 PECOS PAC ID: 5597292011 Enrollment ID: O20250123001782 |
| Mailing Address | Practice Location Address |
|---|---|
| Keisha D Brown, 22919 Ridgeway Ave, Richton Park, IL 60471-2548 Ph: (708) 359-5993 | Keisha D Brown, 22919 Ridgeway Ave, Richton Park, IL 60471-2548 Ph: (708) 359-5993 |
Mrs. Nwadiutor O Ifezue, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22621 Lakeshore Dr, Richton Park, IL 60471 Phone: 708-945-1712 | |
Isaac Adeyemi, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 22858 Millard Ave, Richton Park, IL 60471 Phone: 773-759-1297 | |
Mofoluwa Amiyan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4512 Jefferson Dr, Richton Park, IL 60471 Phone: 708-244-7449 | |
Rosalynn Anderson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 Cedar Ridge Ln Apt 102, Richton Park, IL 60471 Phone: 708-299-3056 | |
Nicole Lovett, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4511 Sauk Trl, Richton Park, IL 60471 Phone: 708-747-6000 | |
Rosaline Richardson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4560 Windsor Ct, Richton Park, IL 60471 Phone: 708-314-1586 |