Mrs Kyla Lee Massimb, FNP-BC | |
754 S 8th St, West Dundee, IL 60118-2102 | |
(630) 517-5817 | |
(630) 504-3003 |
Full Name | Mrs Kyla Lee Massimb |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 754 S 8th St, West Dundee, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548013360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209.029912 (Illinois) | Primary |
Entity Name | Bodyworks Medical Center Of West Dundee Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881458115 PECOS PAC ID: 2769824366 Enrollment ID: O20240529000307 |
Mailing Address | Practice Location Address |
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Mrs Kyla Lee Massimb, FNP-BC 754 S 8th St, West Dundee, IL 60118-2102 Ph: (630) 517-5817 | Mrs Kyla Lee Massimb, FNP-BC 754 S 8th St, West Dundee, IL 60118-2102 Ph: (630) 517-5817 |
Kimberly Wessendorf, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 979 W Main St, West Dundee, IL 60118 Phone: 847-426-9396 | |
Mrs. Kimberly D Zito, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 979 W Main St, West Dundee, IL 60118 Phone: 224-802-2680 | |
Deepa Vallikat, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 979 W Main St Ste 201, West Dundee, IL 60118 Phone: 847-426-9396 Fax: 847-426-1086 | |
Ms. Erika Oceguera, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 979 W Main St, West Dundee, IL 60118 Phone: 847-426-9396 Fax: 847-426-1086 | |
Purvi Gor Shah, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2786 Connolly Ln, West Dundee, IL 60118 Phone: 713-820-8576 | |
Jennifer Glasshagel, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 754 S 8th St, West Dundee, IL 60118 Phone: 847-892-4047 |