| Rachel B Gustafson, | |
|
113 S Main St, Sheffield, IL 61361-9752 | |
| (815) 454-2811 | |
| (815) 454-2832 |
| Full Name | Rachel B Gustafson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 113 S Main St, Sheffield, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275099160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209018821 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209018821 (Illinois) | Primary |
| Entity Name | Mendota Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407872997 PECOS PAC ID: 2264335777 Enrollment ID: O20040131000102 |
| Entity Name | Osf Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679606073 PECOS PAC ID: 4284541806 Enrollment ID: O20070503000249 |
| Entity Name | Osf Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1811016124 PECOS PAC ID: 4284541806 Enrollment ID: O20070504000101 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel B Gustafson, 113 S Main St, Sheffield, IL 61361-9752 Ph: (815) 454-2811 | Rachel B Gustafson, 113 S Main St, Sheffield, IL 61361-9752 Ph: (815) 454-2811 |
Jamie Lynn Swearingen, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 214 S Mason St, Sheffield, IL 61361 Phone: 309-883-0546 | |
Sydney Marie Lebahn-franks, MSN, APRN FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 240 N Mason St, Sheffield, IL 61361 Phone: 815-454-2811 |