| Leticia Mendez, APN | |
|
1700 Luther Ln Ste 1170, Park Ridge, IL 60068-1270 | |
| (844) 376-3876 | |
| (847) 723-2041 |
| Full Name | Leticia Mendez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1700 Luther Ln Ste 1170, Park Ridge, 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 |
|---|---|---|---|
| 1720596166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.017055 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Good Samaritan Hospital | Downers grove, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New Rose Healthcare Management Llc | 4981010048 | 13 |
| Advocate Health And Hospitals Corporation | 7810800935 | 2682 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Cepamerica Illinois Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Entity Name | New Rose Healthcare Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043816515 PECOS PAC ID: 4981010048 Enrollment ID: O20210316000179 |
| Mailing Address | Practice Location Address |
|---|---|
| Leticia Mendez, APN 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Leticia Mendez, APN 1700 Luther Ln Ste 1170, Park Ridge, IL 60068-1270 Ph: (844) 376-3876 |
Michal Ora Mendelsberg, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 Devon Ave, Park Ridge, IL 60068 Phone: 800-323-8622 Fax: 224-225-0374 | |
Amy Miner, APN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1875 Dempster St, Park Ridge, IL 60068 Phone: 844-725-5238 Fax: 847-723-2791 | |
Oluwatosin Olayeye, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 773-895-5075 | |
Marlene Varnavas, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Dempster St Ste 120, Park Ridge, IL 60068 Phone: 847-299-7888 | |
Mrs. Gina Marie Palm, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1675 Dempster St Fl 1, Park Ridge, IL 60068 Phone: 847-318-9300 Fax: 847-723-9583 | |
Cynthia Kane, MS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1875 Dempster St Ste 180, Park Ridge, IL 60068 Phone: 844-725-5238 Fax: 847-723-2791 | |
Mrs. Ellen Tyesha Arnold, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 800 Devon Ave, Park Ridge, IL 60068 Phone: 800-323-8622 |