| Leor Zadaka, FNP-C | |
|
250 E Superior St Ste 5-2322, Chicago, IL 60611-2914 | |
| (312) 926-3411 | |
| (312) 926-8430 |
| Full Name | Leor Zadaka |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Location | 250 E Superior St Ste 5-2322, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396446647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.027047 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209027047 (Illinois) | Primary |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Lakeview Immediate Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720374283 PECOS PAC ID: 9537317292 Enrollment ID: O20120921000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Leor Zadaka, FNP-C 250 E Superior St Ste 5-2322, Chicago, IL 60611-2914 Ph: (312) 926-3411 | Leor Zadaka, FNP-C 250 E Superior St Ste 5-2322, Chicago, IL 60611-2914 Ph: (312) 926-3411 |
Mr. Gerald M. Bedore, APN/CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 S Wolcott Ave Rm E-144, Chicago, IL 60612 Phone: 312-996-7420 Fax: 312-413-8485 | |
Stacy Ervin, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 N Michigan Ave, Chicago, IL 60611 Phone: 866-825-3227 | |
Katherine Cappitelli, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St Ste 2125, Chicago, IL 60611 Phone: 312-472-4218 | |
Mindy Unrau, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2045 W. Grand Ave Ste. B, Pmb 89496, Chicago, IL 60612 Phone: 708-630-1534 | |
Juliet Ibanez Panambo Kantoff, AGPCNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Michigan Ave Ste 1200, Chicago, IL 60611 Phone: 312-635-0973 | |
Catherine L Chung, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2142 S Archer Ave, Chicago, IL 60616 Phone: 312-326-1408 | |
Tricia Muir, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 850 W Irving Park Rd, Chicago, IL 60613 Phone: 773-525-6780 |