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 |
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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 |