| Mrs Lourdes Richardson, FNP-BC | |
|
6360 159th St Ste A-b, Oak Forest, IL 60452-2725 | |
| (708) 687-4620 | |
| (708) 687-4625 |
| Full Name | Mrs Lourdes Richardson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 6360 159th St Ste A-b, Oak Forest, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669916623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041273555 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209015247 (Illinois) | Primary |
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
| Entity Name | Premise Health Of Illinois Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427366921 PECOS PAC ID: 3971764762 Enrollment ID: O20120423000619 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lourdes Richardson, FNP-BC 22953 Toscana Dr, Frankfort, IL 60423-9056 Ph: (708) 351-9599 | Mrs Lourdes Richardson, FNP-BC 6360 159th St Ste A-b, Oak Forest, IL 60452-2725 Ph: (708) 687-4620 |
Chaya Grant, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15811 Central Ave Unit 836, Oak Forest, IL 60452 Phone: 773-359-3317 | |
Jesalem Garnica, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16824 Laramie Ave, Oak Forest, IL 60452 Phone: 312-358-6689 | |
Krystle Banzuela, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6360 W 159th St, Suite A & B, Oak Forest, IL 60452 Phone: 708-687-4620 | |
Housamedain Amir, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5905 Condado Dr, Oak Forest, IL 60452 Phone: 708-337-9335 | |
Christopher Ryan Speaker, APN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5700 Edward Dr, Oak Forest, IL 60452 Phone: 708-535-0364 Fax: 773-702-1192 | |
Ms. Shannon L Casey, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4924 149th St, Oak Forest, IL 60452 Phone: 708-341-1398 | |
Franchesca Maxie Hammond, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6006 159th St Ste 2a, Oak Forest, IL 60452 Phone: 773-749-8691 Fax: 773-800-7968 |