| Kimberly Williams, | |
|
1 Ingalls Dr, Harvey, IL 60426-3558 | |
| (708) 333-2300 | |
| Not Available |
| Full Name | Kimberly Williams |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1 Ingalls Dr, Harvey, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528504131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209015410 (Illinois) | Primary |
| Entity Name | Physicians Immediate Care Ltd. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528046323 PECOS PAC ID: 4486568813 Enrollment ID: O20031118001089 |
| Entity Name | Physicians Immediate Care North Chicago Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205814118 PECOS PAC ID: 8729064159 Enrollment ID: O20040626000381 |
| Entity Name | American Current Care Of Illinois Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285071241 PECOS PAC ID: 6002040276 Enrollment ID: O20131002000446 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Williams, 1 Ingalls Dr, Harvey, IL 60426-3558 Ph: () - | Kimberly Williams, 1 Ingalls Dr, Harvey, IL 60426-3558 Ph: (708) 333-2300 |
Miss Maira Ochoa, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518 | |
Yvette M. Johnson, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 31 W. 155th Street, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-339-3583 | |
Dominique K Craver, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 708-332-2300 | |
Reda Kubilius, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 708-915-9250 | |
Emily Tyl, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 855-826-3878 | |
Donna J. Calvin, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518 | |
Shane Exner, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 708-915-5441 |