| Ms Amber Dawn Datti, | |
| 
					150 W High St, Morris, IL 60450-1463  | |
| (815) 942-2932 | |
| Not Available | 
| Full Name | Ms Amber Dawn Datti | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 150 W High St, Morris, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1497429658 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.023701 (Illinois) | Primary | 
| Entity Name | Signify Health Medical Associates Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190507001451  | 
| Entity Name | Healthfair Plus Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20190729000439  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Amber Dawn Datti, 1 University Pkwy, Romeoville, IL 60446-2200 Ph: () -  | Ms Amber Dawn Datti, 150 W High St, Morris, IL 60450-1463 Ph: (815) 942-2932  | 
Ms. Stephanie Louise Mickley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 151 W High St Lowr Level, Morris, IL 60450 Phone: 815-941-9320  | |
Amy Lynn Staker, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Gore Rd, Morris, IL 60450 Phone: 815-364-8919  | |
Jammie Vickers, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1802 N Division St Ste 701, Morris, IL 60450 Phone: 815-942-5790  | |
Mrs. Diane Marie Zuelke, ANP-FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1802 N Division St Ste 703, Morris, IL 60450 Phone: 815-941-8000 Fax: 815-705-1712  | |
Dr. Kelly Rae Lesemann, D.C. Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 107 W Jefferson St, Morris, IL 60450 Phone: 815-942-8399 Fax: 815-942-8388  | |
Brian R. Czapko, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1715 N Division St Ste 4d5e, Morris, IL 60450 Phone: 815-431-3410 Fax: 815-431-3411  | |
Mrs. Sherese A Pruss, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 151 W High St Lowr Level, Morris, IL 60450 Phone: 815-705-1000 Fax: 815-705-2709  |