| Kelly M Vasquez, APN-CNP | |
|
314 E Washington St, Des Plaines, IL 60016-3061 | |
| (773) 951-4511 | |
| Not Available |
| Full Name | Kelly M Vasquez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 2 Years |
| Location | 314 E Washington St, Des Plaines, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609608090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209030756 (Illinois) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 209.030756 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Community Hospital 1 | Arlington heights, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3372 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly M Vasquez, APN-CNP 314 E Washington St, Des Plaines, IL 60016-3061 Ph: (773) 951-4511 | Kelly M Vasquez, APN-CNP 314 E Washington St, Des Plaines, IL 60016-3061 Ph: (773) 951-4511 |
Caroline Odior Shodunola, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 595 Anita St # 595a, Des Plaines, IL 60016 Phone: 773-475-1210 | |
Ms. Susan A Mack, APRN-FPA Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 514 Teela Ln, Des Plaines, IL 60016 Phone: 847-692-6000 Fax: 847-692-6112 | |
Nikola Driscoll, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 41 N Westgate Rd, Des Plaines, IL 60016 Phone: 773-899-0483 | |
Samantha Schafer, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 Wilson Ln, Des Plaines, IL 60016 Phone: 844-756-8600 | |
Amitaben Patel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2250 E Devon Ave Ste 333, Des Plaines, IL 60018 Phone: 224-803-2273 | |
Sivani Patel, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1426 Danbury Ln, Des Plaines, IL 60018 Phone: 224-595-7813 | |
Mr. Ibrahim Aldasoqi, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 606 Potter Rd, Des Plaines, IL 60016 Phone: 773-319-2317 |