| Samra Cerim, APN-CNP | |
|
731 S. Il Route 21, Suite 130, Gurnee, IL 60031-3803 | |
| (847) 566-3337 | |
| (847) 816-3166 |
| Full Name | Samra Cerim |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 731 S. Il Route 21, Gurnee, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871372433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 14488-33 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 209028444 (Illinois) | Primary |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20220331000407 |
| Mailing Address | Practice Location Address |
|---|---|
| Samra Cerim, APN-CNP 2650 Ridge Ave # 1223, Evanston, IL 60201-1700 Ph: (847) 570-2040 | Samra Cerim, APN-CNP 731 S. Il Route 21, Suite 130, Gurnee, IL 60031-3803 Ph: (847) 566-3337 |
Julia Firlit Buesser, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 S Greenleaf St, Ste J, Gurnee, IL 60031 Phone: 847-599-1111 | |
Erin Vist, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6155 Grand Ave Ste 100, Gurnee, IL 60031 Phone: 224-271-6700 Fax: 224-271-6701 | |
Mrs. Michelle Gaa Ortega, APN/CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 731 S. Il Route 21, Suite 130, Gurnee, IL 60031 Phone: 847-566-3337 Fax: 847-816-3166 | |
Mark H Galera, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 20 Tower Ct Ste A, Gurnee, IL 60031 Phone: 847-244-3525 | |
Violetta Markaryan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 20 Tower Ct Ste C, Gurnee, IL 60031 Phone: 847-244-2960 | |
Eileen Fleer, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5101 Washington St Ste 13, Gurnee, IL 60031 Phone: 847-263-4343 | |
Roseviminda Abano, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7501 Grand Ave, Gurnee, IL 60031 Phone: 800-323-8622 |