| Kim Tavajian, AGACNP-DNP | |
|
25 North Winfield Road, Winfield, IL 60190-1295 | |
| (630) 933-2113 | |
| (630) 933-4520 |
| Full Name | Kim Tavajian |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 25 North Winfield Road, Winfield, 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 |
|---|---|---|---|
| 1306291687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | 209014079 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Riverview Medical Center | Red bank, NJ | Hospital |
| Jfk Medical Center | Edison, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hospitalist Physicians Of New Jersey Pa | 3476859927 | 150 |
| Entity Name | Nj Acute Care Specialists Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073805917 PECOS PAC ID: 3678742269 Enrollment ID: O20110817000093 |
| Entity Name | Hospitalist Physicians Of New Jersey Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588021851 PECOS PAC ID: 3476859927 Enrollment ID: O20160309000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Tavajian, AGACNP-DNP 25 North Winfield Road, Winfield, IL 60190-1295 Ph: (630) 933-2113 | Kim Tavajian, AGACNP-DNP 25 North Winfield Road, Winfield, IL 60190-1295 Ph: (630) 933-2113 |
Angela Obondo Peterson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd Ste 500, Winfield, IL 60190 Phone: 630-232-0280 Fax: 630-232-3895 | |
Jessica Lasak Bernardi, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25 N Winfield Rd, Winfield, IL 60190 Phone: 630-933-2157 Fax: 630-933-4936 | |
Kristen Flubacker, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25 N Winfield Rd, Winfield, IL 60190 Phone: 630-933-1600 | |
Susan Collazo, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd Ste 500, Winfield, IL 60190 Phone: 630-232-0280 Fax: 630-933-3626 | |
Mayowa Ogunfowokan, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd Ste 500, Winfield, IL 60190 Phone: 630-232-0280 Fax: 630-232-3895 | |
Dorota Jaswilko, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 25 N Winfield Rd, Winfield, IL 60190 Phone: 630-933-1600 | |
Joyce L. Smith, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25 N Winfield Rd Ste 204, Winfield, IL 60190 Phone: 630-232-0202 Fax: 630-690-2293 |