| Nikita Sarath Gummadi, FNP-BC | |
| 
					3450 Oakton St, Skokie, IL 60076-2951  | |
| (773) 401-4300 | |
| Not Available | 
| Full Name | Nikita Sarath Gummadi | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Primary Care | 
| Location | 3450 Oakton St, Skokie, Illinois | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1770057440 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 209018623 (Illinois) | Primary | 
| Entity Name | Vitae Health Medical Illinois, Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838  | 
| Entity Name | Longevity Clinical Ltc Associates Of Illinois Pllc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1407422447 PECOS PAC ID: 7012313919 Enrollment ID: O20210901000368  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nikita Sarath Gummadi, FNP-BC 4950 N Marine Dr Apt 1407, Chicago, IL 60640-3996 Ph: (847) 791-2915  | Nikita Sarath Gummadi, FNP-BC 3450 Oakton St, Skokie, IL 60076-2951 Ph: (773) 401-4300  | 
Rachel Arpilleda Mordeno, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8338 Central Park Ave, Skokie, IL 60076 Phone: 847-208-7037  | |
Oksana Buryadnyk, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9977 Woods Dr, Skokie, IL 60077 Phone: 847-663-2655  | |
Antoinette V Ahr,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9669 Kenton Ave, Suite 206, Skokie, IL 60076 Phone: 847-676-1333  | |
Maryam Vali,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9735 Skokie Blvd, Skokie, IL 60077 Phone: 847-380-8969  | |
Alina Garaeva,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4959 Golf Rd, Skokie, IL 60077 Phone: 847-239-4892  | |
Kathleen Fisher, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5250 Old Orchard Rd Ste 300, Skokie, IL 60077 Phone: 847-920-0902  | |
Shobha Limbu,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4709 Golf Rd Fl 7, Skokie, IL 60076 Phone: 224-970-1022  |