| Mrs Marisa Medina, APRN | |
|
24735 W Eames St Unit 10, Channahon, IL 60410-8712 | |
| (815) 200-6993 | |
| Not Available |
| Full Name | Mrs Marisa Medina |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 24735 W Eames St Unit 10, Channahon, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891256517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 277001697 (Illinois) | Primary |
| Entity Name | Will County Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902811714 PECOS PAC ID: 5395633317 Enrollment ID: O20040310000197 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Marisa Medina, APRN 24735 W Eames St Unit 10, Channahon, IL 60410-8712 Ph: (815) 200-6993 | Mrs Marisa Medina, APRN 24735 W Eames St Unit 10, Channahon, IL 60410-8712 Ph: (815) 200-6993 |
Sarah Pettry-soto, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27240 W Saxony Dr Ste 201, Channahon, IL 60410 Phone: 815-467-1518 Fax: 815-467-7419 |
Mrs. Michelle Yost, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24259 S Cree Dr, Channahon, IL 60410 Phone: 815-529-3534 |
Mrs. Stefanie Henline, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25259 S Reed St, Channahon, IL 60410 Phone: 815-467-0555 Fax: 815-467-9823 |
Jennifer Greggain, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 25259 S Reed St, Channahon, IL 60410 Phone: 815-467-0555 Fax: 815-467-9823 |
Mr. Christopher W. Miller, APN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27240 W Saxony Dr, Channahon, IL 60410 Phone: 815-521-1500 |
Anna Piper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 27240 W Saxony Dr, Channahon, IL 60410 Phone: 815-521-1500 Fax: 815-467-9801 |
Danielle Goebel, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25407 S Bell Rd, Channahon, IL 60410 Phone: 312-421-1016 |