| Mrs Mary Elizabeth Lentz, CNM | |
|
2233 W Division St, Department Of Ob/gyn, Chicago, IL 60622-8151 | |
| (877) 737-4636 | |
| Not Available |
| Full Name | Mrs Mary Elizabeth Lentz |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 2233 W Division St, Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760832034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209014898 (Illinois) | Secondary |
| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
| Entity Name | Saint Joseph Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154361350 PECOS PAC ID: 6204735970 Enrollment ID: O20040102000258 |
| Entity Name | Intermountain Medical Group Denver, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083021083 PECOS PAC ID: 0840513552 Enrollment ID: O20150106000131 |
| Entity Name | Platte Valley Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922812593 PECOS PAC ID: 5890054100 Enrollment ID: O20180112000840 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Mary Elizabeth Lentz, CNM 2233 W Division St, Department Of Ob/gyn, Chicago, IL 60622-8151 Ph: () - | Mrs Mary Elizabeth Lentz, CNM 2233 W Division St, Department Of Ob/gyn, Chicago, IL 60622-8151 Ph: (877) 737-4636 |
Kaelyn Carroll, RN, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 966 W 21st St, Chicago, IL 60608 Phone: 773-254-1400 | |
Jacqueline S Ma, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 966 W 21st St, Chicago, IL 60608 Phone: 773-254-1400 Fax: 312-829-6375 | |
Tracy A Abraham, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1220 S Wood St, Chicago, IL 60608 Phone: 312-996-2000 Fax: 312-413-2026 | |
Christina Volkening, MSN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 2233 W Division St, Chicago, IL 60622 Phone: 312-770-2000 | |
Mallory Marie Klocke, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 17 N State St Ste 500, Chicago, IL 60602 Phone: 712-210-2717 | |
Rebecca Etrenne, APN Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 219 W Chicago Ave, Chicago, IL 60654 Phone: 312-878-1945 | |
Kamila Stoksik, DNP Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 250 E Superior St, Chicago, IL 60611 Phone: 312-472-2900 |