| Michelle L Dalton, FNP | |
|
13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 | |
| (815) 830-9244 | |
| Not Available |
| Full Name | Michelle L Dalton |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 13011 S 104th Ave Ste 100, Palos Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225736499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209026867 (Illinois) | Primary |
| Entity Name | Heart Care Centers Of Illinois, S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508810086 PECOS PAC ID: 6103738810 Enrollment ID: O20031103000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle L Dalton, FNP 2121 Oneida St Ste 202, Joliet, IL 60435-6550 Ph: (815) 830-9244 | Michelle L Dalton, FNP 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 Ph: (815) 830-9244 |
Kimberly Zoellick, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8100 W 119th St Ste 400, Palos Park, IL 60464 Phone: 708-361-3300 | |
Sara Perisin, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13011 S 104th Ave Ste 100, Palos Park, IL 60464 Phone: 708-274-3278 Fax: 708-274-3299 | |
Ms. Danielle Patrice Poulos, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13011 S 104th Ave Ste 100, Palos Park, IL 60464 Phone: 708-274-3278 Fax: 708-274-3299 | |
Jessica M Marganski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13011 S 104th Ave Ste 100, Palos Park, IL 60464 Phone: 708-274-3278 | |
Mrs. Molly Hughes Mcdowell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8100 W 119th Street, Palos Park, IL 60464 Phone: 708-361-3300 | |
Helena Davis, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9654 W 131st St Unit 205, Palos Park, IL 60464 Phone: 708-480-2650 Fax: 708-575-2876 |