Mrs Anquinette Colvin, REGISTERED NURSE is a
Home Health based in Chicago, Illinois. Mrs Anquinette Colvin is licensed to practice in Illinois (license number 041291124) and her current practice location is
8543 S Ashland Ave, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 925-4585.
NPI number for Mrs Anquinette Colvin is 1588304059 and her current mailing address is 16601 Luella Ave, South Holland, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588304059.
Provider's Profile
| Full Name | Mrs Anquinette Colvin |
|---|
| Gender | Female |
|---|
| Speciality | Home Health |
|---|
| Location | 8543 S Ashland Ave, Chicago, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1588304059
- Provider Enumeration Date: 03/31/2022
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Mrs Anquinette Colvin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1588304059 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 041291124 (Illinois) | Secondary |
| 163W00000X | Registered Nurse | (Illinois) | Secondary |
| 251E00000X | Home Health | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | 041291124 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Anquinette Colvin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mrs Anquinette Colvin, REGISTERED NURSE 16601 Luella Ave, South Holland, IL 60473-2618 Ph: (708) 715-4586 | Mrs Anquinette Colvin, REGISTERED NURSE 8543 S Ashland Ave, Chicago, IL 60620-4710 Ph: (708) 925-4585 |
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