| Tyra Franklin, | |
|
513 Wallace St, Chicago Heights, IL 60411-1234 | |
| (708) 774-6255 | |
| Not Available |
| Full Name | Tyra Franklin |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 513 Wallace St, Chicago Heights, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295106268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209.013093 (Illinois) | Primary |
| Entity Name | Beloved Community Family Wellness Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760408439 PECOS PAC ID: 0042216038 Enrollment ID: O20061016000042 |
| Entity Name | Siloam Home And Wound Care Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861814915 PECOS PAC ID: 6709015324 Enrollment ID: O20140131000259 |
| Mailing Address | Practice Location Address |
|---|---|
| Tyra Franklin, 513 Wallace St, Chicago Heights, IL 60411-1234 Ph: (708) 774-6255 | Tyra Franklin, 513 Wallace St, Chicago Heights, IL 60411-1234 Ph: (708) 774-6255 |
Delovely Gloria Jackson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 Otto Blvd, Chicago Heights, IL 60411 Phone: 708-733-7200 Fax: 708-733-7222 | |
Catherine Elizabeth Mosley, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 648 Lexington Dr, Chicago Heights, IL 60411 Phone: 708-491-0083 | |
Mrs. Melinda Renee Fitzgerald, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 152 W. Lincoln Highway, Chicago Heights, IL 60411 Phone: 708-755-7359 Fax: 708-754-3071 | |
Olayemi Ekaette Adeyemi, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 450 W 14th St, Chicago Heights, IL 60411 Phone: 708-985-3040 | |
Mrs. Tyra Storey, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 345 Dixie Hwy, Chicago Heights, IL 60411 Phone: 888-660-4425 | |
Alexis S Thomas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1400 Otto Blvd, Chicago Heights, IL 60411 Phone: 708-733-7200 Fax: 708-733-7222 |