Serena Joseph, | |
1 Ingalls Dr, Harvey, IL 60426-3558 | |
(855) 826-3878 | |
Not Available |
Full Name | Serena Joseph |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1 Ingalls Dr, Harvey, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639976640 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 2090308060041475650 (Illinois) | Primary |
Entity Name | University Of Chicago |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
Entity Name | The University Of Chicago Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031113000198 |
Mailing Address | Practice Location Address |
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Serena Joseph, 10660 Pleasantdale Ct, Countryside, IL 60525-5073 Ph: () - | Serena Joseph, 1 Ingalls Dr, Harvey, IL 60426-3558 Ph: (855) 826-3878 |
Miss Maira Ochoa, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518 | |
Yvette M. Johnson, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 31 W. 155th Street, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-339-3583 | |
Dominique K Craver, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 708-332-2300 | |
Reda Kubilius, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 708-915-9250 | |
Emily Tyl, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 855-826-3878 | |
Donna J. Calvin, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 31 W 155th St, Harvey, IL 60426 Phone: 708-596-5177 Fax: 708-596-5518 | |
Shane Exner, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Ingalls Dr, Harvey, IL 60426 Phone: 708-915-5441 |