Lerone Fong, | |
9047 Central Ave, Morton Grove, IL 60053-2565 | |
(847) 966-8186 | |
Not Available |
Full Name | Lerone Fong |
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Gender | Female |
Speciality | Registered Nurse |
Location | 9047 Central Ave, Morton Grove, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225704927 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041409728 (Illinois) | Primary |
Entity Name | Northstar Anesthesia Of Illinois, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
Mailing Address | Practice Location Address |
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Lerone Fong, 9047 Central Ave, Morton Grove, IL 60053-2565 Ph: (847) 966-8186 | Lerone Fong, 9047 Central Ave, Morton Grove, IL 60053-2565 Ph: (847) 966-8186 |
Dorinda Nance, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9000 Waukegan Rd, Suite 200, Morton Grove, IL 60053 Phone: 847-375-3000 | |
Christine Kolcz, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9000 Waukegan Rd, Suite 200, Morton Grove, IL 60053 Phone: 847-375-3000 | |
Mrs. Patricia A Reich, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8145 River Dr, Suite 100, Morton Grove, IL 60053 Phone: 847-966-1080 | |
Masum Kidiwala, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8841 Major Ave, Morton Grove, IL 60053 Phone: 847-899-2544 | |
Ms. Arlene F Keane, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8145 River Dr, Morton Grove, IL 60053 Phone: 888-345-7337 | |
Pearlane Deguzman, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 8839 Sayre Ave, Morton Grove, IL 60053 Phone: 224-616-0668 |