| Ms Tiffany Deshan Stewart, FNP-C | |
|
4415 Harrison St Ste 247, Hillside, IL 60162-1919 | |
| (773) 983-3217 | |
| Not Available |
| Full Name | Ms Tiffany Deshan Stewart |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 4415 Harrison St Ste 247, Hillside, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215438445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 02180108 (Illinois) | Primary |
| Entity Name | Cardiac Vision Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275990707 PECOS PAC ID: 6800192519 Enrollment ID: O20160307001296 |
| Entity Name | Community Care Health Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619368842 PECOS PAC ID: 8527324151 Enrollment ID: O20210414000501 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tiffany Deshan Stewart, FNP-C 9000 S Troy Ave, Evergreen Park, IL 60805-1336 Ph: (773) 983-3217 | Ms Tiffany Deshan Stewart, FNP-C 4415 Harrison St Ste 247, Hillside, IL 60162-1919 Ph: (773) 983-3217 |
Ms. Nadia Handspike, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4415 Harrison St Ste 247, Hillside, IL 60162 Phone: 312-738-3355 | |
Suliat Y Oluwa, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 323 Oak Ridge Ave, Hillside, IL 60162 Phone: 217-390-8260 | |
Crystal Trinidad, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4415 Harrison St Ste 247, Hillside, IL 60162 Phone: 312-738-3355 | |
Mr. Bhadra Dev Komarraju, APRN AGNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4415 Harrison St, Hillside, IL 60162 Phone: 312-738-3355 | |
Mr. Gebreyesus T Hidad, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 436 E End Ave, Hillside, IL 60162 Phone: 708-769-6084 |