| Kimberly C Anderegg, FNP | |
|
7601 Madison St Ste E, Forest Park, IL 60130-3504 | |
| (312) 970-1125 | |
| Not Available |
| Full Name | Kimberly C Anderegg |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 7601 Madison St Ste E, Forest 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 |
|---|---|---|---|
| 1396059606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 277000334 (Illinois) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 209009066 (Illinois) | Secondary |
| Entity Name | Carbon Health Medical Group Of Florida Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730781691 PECOS PAC ID: 3274947304 Enrollment ID: O20210504002947 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly C Anderegg, FNP 7601 Madison St Ste E, Forest Park, IL 60130-3504 Ph: () - | Kimberly C Anderegg, FNP 7601 Madison St Ste E, Forest Park, IL 60130-3504 Ph: (312) 970-1125 |
Mrs. Dawn T Bounds, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8311 W. Roosevelt Road, Forest Park, IL 60130 Phone: 630-505-0300 Fax: 630-836-0667 | |
Chibuzor Anyanwu, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8311 Roosevelt Rd, Forest Park, IL 60130 Phone: 708-771-7000 | |
Jocelyn Wynveen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7236 Madison St, Forest Park, IL 60130 Phone: 847-650-9026 | |
Ms. Shelley Joy Bagri, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 Marengo Ave, Forest Park, IL 60130 Phone: 708-305-5333 Fax: 708-221-8525 | |
Dr. Daniel P Boffa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7212 Franklin St, Forest Park, IL 60130 Phone: 708-288-7784 | |
Karen Janiec, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7236 Madison St, Forest Park, IL 60130 Phone: 708-524-1400 |