| Madison Erica Maskalunas, | |
|
911 Church St, Evanston, IL 60201 | |
| (847) 919-9096 | |
| Not Available |
| Full Name | Madison Erica Maskalunas |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 911 Church St, Evanston, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992563118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209029395 (Illinois) | Primary |
| Entity Name | Edgewood Clinical Services P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Erica Maskalunas, 911 Church St, Evanston, IL 60201 Ph: (847) 919-9096 | Madison Erica Maskalunas, 911 Church St, Evanston, IL 60201 Ph: (847) 919-9096 |
Marlene Angelico, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Emergency Medicine, Rm G903c, Evanston, IL 60201 Phone: 847-570-1355 Fax: 847-570-1223 | |
Emily Pableo Pinol, MSN, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-982-3811 | |
Reba Elizabeth Mathew, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 Asbury Ave # 316-3320, Evanston, IL 60202 Phone: 847-316-3320 | |
Mrs. Monika Marrero, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-425-6400 | |
Holly Rene, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-1027 | |
Manijeh Ghafouri, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3333 Central St, Evanston, IL 60201 Phone: 847-869-3800 | |
Regina Munoz, APN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Central St Ste 610, Evanston, IL 60201 Phone: 847-570-1029 Fax: 847-733-5318 |