| La Tonya Anderson, APRN | |
|
956 E 152nd St, South Holland, IL 60473-1142 | |
| (773) 354-5656 | |
| Not Available |
| Full Name | La Tonya Anderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 956 E 152nd St, South Holland, 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 |
|---|---|---|---|
| 1710580618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 209022426 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Theoria Medical | 5395098339 | 414 |
| Entity Name | Arthur H. Katz, M.d., S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598832750 PECOS PAC ID: 5395746689 Enrollment ID: O20080515000617 |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20211209000803 |
| Mailing Address | Practice Location Address |
|---|---|
| La Tonya Anderson, APRN 956 E 152nd St, South Holland, IL 60473-1142 Ph: (773) 354-5656 | La Tonya Anderson, APRN 956 E 152nd St, South Holland, IL 60473-1142 Ph: (773) 354-5656 |
Mrs. Kenisha Davis, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16266 Prince Dr, South Holland, IL 60473 Phone: 708-222-7333 Fax: 708-221-0501 | |
Johnnie Dominica Johnson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 708-730-2200 | |
Sandra Karim, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16003 Louis Ave, South Holland, IL 60473 Phone: 312-218-5220 | |
Terri Lynn Mayberry, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2145 E 170th St, South Holland, IL 60473 Phone: 708-895-3255 | |
Mrs. Jennifer Norris Rosas, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15821 S Park Ave, South Holland, IL 60473 Phone: 708-225-0200 Fax: 708-225-0202 | |
Ms. Rebecca Cummings, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 W 162nd St, South Holland, IL 60473 Phone: 708-730-2200 | |
Julia Ifeoma Egbuna, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16949 Parkside Ave, South Holland, IL 60473 Phone: 708-441-9532 |