Ojhanae Stallworth, is a
Student In An Organized Health Care Education/training Program based in North Chicago, Illinois. Ojhanae Stallworth is licensed to practice in * (Not Available) (license number ) and her current practice location is
3101 22nd Pl, North Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(847) 406-6904.
NPI number for Ojhanae Stallworth is 1710661053 and her current mailing address is 3101 22nd Pl, North Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710661053.
Provider's Profile
Full Name | Ojhanae Stallworth |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3101 22nd Pl, North Chicago, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1710661053
- Provider Enumeration Date: 06/14/2023
- Last Update Date: 03/11/2024
Medical Identifiers
Medical identifiers for Ojhanae Stallworth such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710661053 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 085010207 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ojhanae Stallworth is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ojhanae Stallworth, 3101 22nd Pl, North Chicago, IL 60064-2903 Ph: () - | Ojhanae Stallworth, 3101 22nd Pl, North Chicago, IL 60064-2903 Ph: (847) 406-6904 |
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