Nicole Jane Harris, | |
7343 Lake St, River Forest, IL 60305-2206 | |
(708) 231-8980 | |
Not Available |
Full Name | Nicole Jane Harris |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 7343 Lake St, River 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 |
---|---|---|---|
1730729336 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209020788 (Illinois) | Primary |
Entity Name | Midwest Express Care 2 Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548692890 PECOS PAC ID: 0547495467 Enrollment ID: O20131031001375 |
Mailing Address | Practice Location Address |
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Nicole Jane Harris, 7343 Lake St, River Forest, IL 60305-2206 Ph: (708) 231-8980 | Nicole Jane Harris, 7343 Lake St, River Forest, IL 60305-2206 Ph: (708) 231-8980 |
Anna Dowd, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 744 Keystone Ave, River Forest, IL 60305 Phone: 773-569-5167 | |
Melissa Coniaris, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7343 Lake St, River Forest, IL 60305 Phone: 708-231-8908 | |
Dr. Rachel H Prokopf, DNP, APRN, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7411 Lake St Ste 1120, River Forest, IL 60305 Phone: 708-345-3076 Fax: 708-345-9984 | |
Taylor Beirne, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7603 West North Avenue, River Forest, IL 60305 Phone: 708-456-7787 | |
Linda Mae Bernard, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7411 West Lake, L-120, River Forest, IL 60305 Phone: 708-488-1919 Fax: 708-488-2370 | |
Mrs. Marquita N Brumley, AGPCNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7761 North Ave, River Forest, IL 60305 Phone: 773-851-8962 | |
Shila Maninji, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7343 Lake St, River Forest, IL 60305 Phone: 708-231-8908 Fax: 708-689-0116 |