| Marie Rochelle Gonzalo Wauna, | |
|
40 75th St, Willowbrook, IL 60527-2325 | |
| (630) 581-5372 | |
| Not Available |
| Full Name | Marie Rochelle Gonzalo Wauna |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 40 75th St, Willowbrook, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033793641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209023173 (Illinois) | Primary |
| Entity Name | Midwest Express Care 2 Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548692890 PECOS PAC ID: 0547495467 Enrollment ID: O20131031001375 |
| Mailing Address | Practice Location Address |
|---|---|
| Marie Rochelle Gonzalo Wauna, 40 75th St, Willowbrook, IL 60527-2325 Ph: (630) 581-5372 | Marie Rochelle Gonzalo Wauna, 40 75th St, Willowbrook, IL 60527-2325 Ph: (630) 581-5372 |
Patricia Kuenzi, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 535 Plainfield Rd, Willowbrook, IL 60527 Phone: 630-986-7501 | |
Irma Dondiego, FNP-BC, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 40 75th St, Willowbrook, IL 60527 Phone: 630-581-5372 | |
Dana Clayter, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 75th St, Willowbrook, IL 60527 Phone: 630-400-4060 | |
Vanessa Diaz Cloud, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 535 Plainfield Rd Ste D, Willowbrook, IL 60527 Phone: 630-277-9018 Fax: 866-531-8584 | |
Valbona Capani, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 40 75th St, Willowbrook, IL 60527 Phone: 630-581-5372 | |
Joanna Czmiel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 75th St, Willowbrook, IL 60527 Phone: 630-581-5372 |