| Mr Nathan Douglas Holliday, MS, FNP-BC | |
|
3131 Lake Ave Unit C, Wilmette, IL 60091-1115 | |
| (224) 529-1928 | |
| Not Available |
| Full Name | Mr Nathan Douglas Holliday |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 3131 Lake Ave Unit C, Wilmette, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407464936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.021663 (Illinois) | Primary |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| 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 |
|---|---|
| Mr Nathan Douglas Holliday, MS, FNP-BC 3131 Lake Ave Unit C, Wilmette, IL 60091-1115 Ph: (224) 529-1928 | Mr Nathan Douglas Holliday, MS, FNP-BC 3131 Lake Ave Unit C, Wilmette, IL 60091-1115 Ph: (224) 529-1928 |
Hina R Valiani, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 432 Poplar Dr, Wilmette, IL 60091 Phone: 872-231-3162 | |
Heather Johnstone, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3822 Lake Ave, Lake Ave., Wilmette, IL 60091 Phone: 847-251-2496 | |
Valery Benson, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3330 Old Glenview Rd Ste 14, Wilmette, IL 60091 Phone: 847-610-6763 Fax: 312-971-8554 | |
Shelencia Weatherspoon, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 3201 Old Glenview Rd Ste 130, Wilmette, IL 60091 Phone: 847-673-6505 Fax: 847-673-2099 | |
Angela M. Thomas, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 915 Pawnee Rd, Wilmette, IL 60091 Phone: 773-454-2644 Fax: 773-454-2644 | |
Alyssa Adamus, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 118 Skokie Blvd, Wilmette, IL 60091 Phone: 773-529-5277 |