| Theresa L Wycklendt, APNP | |
|
1000 Burr Ridge Pkwy Ste 201, Burr Ridge, IL 60527-0864 | |
| (312) 818-4650 | |
| (855) 618-2629 |
| Full Name | Theresa L Wycklendt |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 1000 Burr Ridge Pkwy Ste 201, Burr Ridge, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538736350 | NPI | - | NPPES |
| 100174297 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11060-033 (Wisconsin) | Primary |
| 363LC0200X | Nurse Practitioner - Critical Care Medicine | 1716711 (Wisconsin) | Secondary |
| Entity Name | Vpa Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659484657 PECOS PAC ID: 9234041948 Enrollment ID: O20040322000734 |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa L Wycklendt, APNP Po Box 40412, Belfast, ME 04915-1255 Ph: (312) 818-4650 | Theresa L Wycklendt, APNP 1000 Burr Ridge Pkwy Ste 201, Burr Ridge, IL 60527-0864 Ph: (312) 818-4650 |
Ruchi Savani, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1333 Burr Ridge Pkwy, Burr Ridge, IL 60527 Phone: 630-550-2003 | |
Cynthia Kay Bouffard, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Burr Ridge Pkwy Ste 201, Burr Ridge, IL 60527 Phone: 312-818-4650 | |
Katelyn Nieman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Burr Ridge Pkwy Ste 201, Burr Ridge, IL 60527 Phone: 414-255-0340 Fax: 855-342-0199 | |
Mrs. Rosemary White, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 Burr Ridge Pkwy Ste 201, Burr Ridge, IL 60527 Phone: 312-818-4650 Fax: 855-618-2629 | |
Mrs. Patricia Summers, MSN, AGPCNP-BC, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Burr Ridge Pkwy Ste 201, Burr Ridge, IL 60527 Phone: 248-266-4200 Fax: 855-618-6655 | |
Elizabeth A Rochford, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6101 S County Line Rd, Burr Ridge, IL 60527 Phone: 630-686-9000 Fax: 844-235-2578 | |
Andrew Richardson, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527 Phone: 773-702-1150 |