| Mini Joy Oommen, | |
|
179 Trumpet Vine Cir, Elgin, IL 60124-8179 | |
| (773) 349-0650 | |
| Not Available |
| Full Name | Mini Joy Oommen |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 179 Trumpet Vine Cir, Elgin, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558043521 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209027221 (Illinois) | Primary |
| Entity Name | Wellbe Senior Medical Illinois Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306499363 PECOS PAC ID: 4486985199 Enrollment ID: O20191010002358 |
| Mailing Address | Practice Location Address |
|---|---|
| Mini Joy Oommen, 179 Trumpet Vine Cir, Elgin, IL 60124-8179 Ph: (773) 349-0650 | Mini Joy Oommen, 179 Trumpet Vine Cir, Elgin, IL 60124-8179 Ph: (773) 349-0650 |
Jacob Thomas Baker, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1530 N Randall Rd Ste 210, Elgin, IL 60123 Phone: 224-760-7322 | |
Shay Lynn Ward, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1752 Capital St, Elgin, IL 60124 Phone: 847-695-3680 Fax: 847-695-4552 | |
Tiffany Robinson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 S Grove Ave Unit 308, Elgin, IL 60120 Phone: 312-581-8000 | |
Alyssa Marie Cowing, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1530 N Randall Rd Ste 210, Elgin, IL 60123 Phone: 224-760-7322 | |
Jaclyn Mastrangeli, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1425 N Randall Rd, Elgin, IL 60123 Phone: 847-742-9800 | |
Anna Krok, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1710 N Randall Rd Ste 380, Elgin, IL 60123 Phone: 847-450-6057 | |
Ms. Suzanne Marie Butler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 77 N Airlite St, Elgin, IL 60123 Phone: 847-888-3946 |