| Miss Kimberly Wicks, FNP-BC | |
|
4001 Vollmer Rd, Olympia Fields, IL 60461-3168 | |
| (708) 481-8883 | |
| (708) 481-2917 |
| Full Name | Miss Kimberly Wicks |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 4001 Vollmer Rd, Olympia Fields, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710381181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209011994 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209-011994 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Osf Little Company Of Mary Medical Center | Evergreen park, IL | Hospital |
| Advocate Trinity Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Osf Multi-specialty Group | 3678889789 | 1848 |
| Advocate Health And Hospitals Corporation | 7810800935 | 2682 |
| Entity Name | University Of Chicago |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Kimberly Wicks, FNP-BC 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Miss Kimberly Wicks, FNP-BC 4001 Vollmer Rd, Olympia Fields, IL 60461-3168 Ph: (708) 481-8883 |
Nancy Tapia, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2555 Lincoln Hwy Ste 200, Olympia Fields, IL 60461 Phone: 708-996-4000 | |
Dawyn Marie Jenkins, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2555 Lincoln Hwy Ste 205, Olympia Fields, IL 60461 Phone: 708-677-8337 | |
Nicole Bindl, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 W 203rd St Ste 204, Olympia Fields, IL 60461 Phone: 708-852-2641 Fax: 708-503-3260 | |
Rhonda Renae Pettaway Ansier, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3700 W 203rd St Ste 110, Olympia Fields, IL 60461 Phone: 708-679-1890 | |
Ms. Tracy Loren Taylor, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20201 Crawford Ave, Olympia Fields, IL 60461 Phone: 708-679-2850 | |
Larina Branch, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 W 203rd St Ste 301, Olympia Fields, IL 60461 Phone: 708-679-2850 Fax: 708-503-3816 | |
Megan Gac, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3700 W 203rd St Ste 302, Olympia Fields, IL 60461 Phone: 708-679-2518 Fax: 708-679-2519 |