Ms Danielle Patrice Poulos, FNP-C | |
13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 | |
(708) 274-3278 | |
(708) 274-3299 |
Full Name | Ms Danielle Patrice Poulos |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 13011 S 104th Ave Ste 100, Palos Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447995352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209025382 (Illinois) | Primary |
Entity Name | Heart Care Centers Of Illinois, S.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508810086 PECOS PAC ID: 6103738810 Enrollment ID: O20031103000069 |
Mailing Address | Practice Location Address |
---|---|
Ms Danielle Patrice Poulos, FNP-C 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 Ph: (708) 478-3600 | Ms Danielle Patrice Poulos, FNP-C 13011 S 104th Ave Ste 100, Palos Park, IL 60464-1508 Ph: (708) 274-3278 |
Kimberly Zoellick, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8100 W 119th St Ste 400, Palos Park, IL 60464 Phone: 708-361-3300 | |
Michelle Lynn Dalton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13011 S 104th Ave Ste 100, Palos Park, IL 60464 Phone: 815-830-9244 | |
Jessica M Marganski, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13011 S 104th Ave Ste 100, Palos Park, IL 60464 Phone: 708-274-3278 | |
Mrs. Molly Hughes Mcdowell, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8100 W 119th Street, Palos Park, IL 60464 Phone: 708-361-3300 | |
Helena Davis, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9654 W 131st St Unit 205, Palos Park, IL 60464 Phone: 708-480-2650 Fax: 708-575-2876 | |
Jenise Farano, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12118 S 86th Ave, Palos Park, IL 60464 Phone: 708-323-6271 |