| Timothy Lyons, FNP-BC | |
|
4575 Weaver Pwky, Ste 200, Warrenville, IL 60555 | |
| (630) 717-2600 | |
| (630) 718-2608 |
| Full Name | Timothy Lyons |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 1 Years |
| Location | 4575 Weaver Pwky, Ste 200, Warrenville, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164300026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209.033046 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cepamerica Illinois Llp | 3274793633 | 492 |
| Dupage Medical Group Ltd | 5496667941 | 1326 |
| Entity Name | Dupage Medical Group Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20040412001479 |
| Entity Name | Cepamerica Illinois LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912283110 PECOS PAC ID: 3274793633 Enrollment ID: O20120322000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Lyons, FNP-BC Po Box 713260, Chicago, IL 60677-1260 Ph: (630) 469-9200 | Timothy Lyons, FNP-BC 4575 Weaver Pwky, Ste 200, Warrenville, IL 60555 Ph: (630) 717-2600 |
Angela Zaba, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4320 Winfield Rd Ste 200, Warrenville, IL 60555 Phone: 630-333-4718 |
Carlene Porter, APN. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 630-352-5300 Fax: 630-352-5499 |
Laura Minarich, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 28201 Diehl Rd, Warrenville, IL 60555 Phone: 360-657-5555 |
Mr. Robert Dennis Stalley, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 630-938-8850 Fax: 630-938-8849 |
Mary Kay Larson, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 630-352-5450 Fax: 630-352-5499 |
Angela Gryzbek, M.S.N. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 630-933-7811 |
Jacqueline Rose Schmidt, MSN, APN, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4405 Weaver Pkwy, Warrenville, IL 60555 Phone: 630-352-5450 Fax: 630-352-5499 |