| Lara Gorick, | |
|
408 E Wall St, Morrison, IL 61270-2747 | |
| (630) 373-3349 | |
| Not Available |
| Full Name | Lara Gorick |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 408 E Wall St, Morrison, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902557184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.024515 (Illinois) | Primary |
| Entity Name | Personalized Physicians Group Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780706481 PECOS PAC ID: 2062503493 Enrollment ID: O20070814000352 |
| Entity Name | Signify Health Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190507001451 |
| Mailing Address | Practice Location Address |
|---|---|
| Lara Gorick, 408 E Wall St, Morrison, IL 61270-2747 Ph: (630) 373-3349 | Lara Gorick, 408 E Wall St, Morrison, IL 61270-2747 Ph: (630) 373-3349 |
Angelica Lopez, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 303 N Jackson St, Morrison, IL 61270 Phone: 815-772-4003 | |
Catherine Marie Perino, APRN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 303 N Jackson St, Morrison, IL 61270 Phone: 815-772-4003 | |
Teresa Ann Stout, RN, BSN, CDE Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 N Jackson St, Morrison, IL 61270 Phone: 815-772-4003 | |
Dr. Crystle Renee Liebhart Meggenberg, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 N Jackson St, Morrison, IL 61270 Phone: 815-772-4003 | |
Cynthia Wadsworth, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 105 S Heaton St, Morrison, IL 61270 Phone: 815-772-8100 | |
Jarica Jordan, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 N Jackson St, Morrison, IL 61270 Phone: 815-772-4003 | |
Marcella Alene Miner, DNP, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 303 N Jackson St, Morrison, IL 61270 Phone: 815-772-4003 |