| Stephanie Kutella, PMHNP - BC | |
|
6943 Ticonderoga Rd, Downers Grove, IL 60516-3143 | |
| (224) 567-0219 | |
| Not Available |
| Full Name | Stephanie Kutella |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 6943 Ticonderoga Rd, Downers Grove, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497596886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209030251 (Illinois) | Primary |
| Entity Name | Edgewood Clinical Services P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Kutella, PMHNP - BC 6943 Ticonderoga Rd, Downers Grove, IL 60516-3143 Ph: (224) 567-0219 | Stephanie Kutella, PMHNP - BC 6943 Ticonderoga Rd, Downers Grove, IL 60516-3143 Ph: (224) 567-0219 |
Theresa Dolan, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1441 Branding Ave Ste 310, Downers Grove, IL 60515 Phone: 630-829-1038 Fax: 630-829-1080 | |
Mrs. Tamyra Michelle Janicki, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1315 Butterfield Rd Ste 206, Downers Grove, IL 60515 Phone: 630-317-7690 Fax: 630-317-7894 | |
Mrs. Ebonique Thomson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3005 Highland Pkwy, Downers Grove, IL 60515 Phone: 716-249-1820 | |
Mansi P Patel, ACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1441 Branding Ave, Ste 310, Downers Grove, IL 60515 Phone: 312-609-0300 | |
Dr. Julianne Elizabeth Kulow, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2001 Butterfield Rd Fl 3, Downers Grove, IL 60515 Phone: 224-970-2074 | |
Ms. Elizabeth Sowa, MSN, ANP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1441 Branding Ave Ste 310, Downers Grove, IL 60515 Phone: 630-829-1084 | |
Letasha Lewis, MSN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 900 Ogden Ave # 335, Downers Grove, IL 60515 Phone: 773-234-0388 Fax: 773-234-0394 |