Stephanie Nicole Pelling, APN | |
1s219 Ingersoll Ln, Villa Park, IL 60181-3655 | |
(630) 699-8234 | |
Not Available |
Full Name | Stephanie Nicole Pelling |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1s219 Ingersoll Ln, Villa Park, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972185726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 209023155 (Illinois) | Primary |
Entity Name | West Coast Wound And Skin Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437675980 PECOS PAC ID: 7315212834 Enrollment ID: O20230525001873 |
Mailing Address | Practice Location Address |
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Stephanie Nicole Pelling, APN 1s219 Ingersoll Ln, Villa Park, IL 60181-3655 Ph: () - | Stephanie Nicole Pelling, APN 1s219 Ingersoll Ln, Villa Park, IL 60181-3655 Ph: (630) 699-8234 |
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Julie K Miyamasu, APN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 E Roosevelt Rd, Villa Park, IL 60181 Phone: 800-323-8622 | |
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Kristina A Roscizewski, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 200 E Roosevelt Rd, Villa Park, IL 60181 Phone: 630-993-0869 | |
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