| Lillian Moore, | |
|
4724 West 175th Place, Country Club Hills, IL 60478 | |
| (708) 253-8845 | |
| Not Available |
| Full Name | Lillian Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 4724 West 175th Place, Country Club Hills, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447663398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 209011565 (Illinois) | Primary |
| Entity Name | Okolocha Medical Corp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902851330 PECOS PAC ID: 5597794834 Enrollment ID: O20050808000530 |
| Mailing Address | Practice Location Address |
|---|---|
| Lillian Moore, 4724 West 175th Place, Country Club Hills, IL 60478 Ph: () - | Lillian Moore, 4724 West 175th Place, Country Club Hills, IL 60478 Ph: (708) 253-8845 |
Rashunda Lee, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17469 Park Lane, Country Club Hills, IL 60478 Phone: 708-654-0855 | |
Bernadine N Okeh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4309 179th St, Country Club Hills, IL 60478 Phone: 708-257-5709 | |
Mrs. Abigail Ugoagha Ogunniyi, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4363 Maple Ter, Country Club Hills, IL 60478 Phone: 773-440-1368 | |
Dr. Lilian A Allen, PH. D, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18409 Dartry Dr, Country Club Hills, IL 60478 Phone: 773-803-3288 | |
Mrs. April Larhonda Clinton, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 17740 Rosewood Ter, Country Club Hills, IL 60478 Phone: 773-983-1253 |