| Mrs Antoinette Green, FNP-BC | |
|
1324 N Sheridan Rd, Waukegan, IL 60085-2161 | |
| (847) 360-4303 | |
| (847) 596-4506 |
| Full Name | Mrs Antoinette Green |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1324 N Sheridan Rd, Waukegan, 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 |
|---|---|---|---|
| 1134409576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209008964 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Medical Center | Las cruces, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Las Cruces Physician Practices, Llc | 7618974858 | 81 |
| Entity Name | Las Cruces Physician Practices, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093947491 PECOS PAC ID: 7618974858 Enrollment ID: O20061031000215 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Antoinette Green, FNP-BC 1324 N Sheridan Rd, Waukegan, IL 60085-2161 Ph: (847) 360-4303 | Mrs Antoinette Green, FNP-BC 1324 N Sheridan Rd, Waukegan, IL 60085-2161 Ph: (847) 360-4303 |
Wendy Jahayra Miralda, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8296 | |
Mercedes Rebeca Jasso, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2400 Belvidere Rd, Waukegan, IL 60085 Phone: 847-377-8800 | |
Brandon Barrios, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8800 | |
Ms. Amy Ruth Morton-miller, PHD, RN, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8808 | |
Rochelle A Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3210 Grand Ave, Waukegan, IL 60085 Phone: 847-440-7339 | |
Mankaa Vifansi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave Fl 1, Waukegan, IL 60085 Phone: 847-377-8950 Fax: 847-984-5602 | |
Samantha Williams, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1324 N Sheridan Rd, Waukegan, IL 60085 Phone: 847-360-3000 |