| Dr Victoria O Fadiya, DNP | |
|
9405 Bormet Dr Ste 10, Mokena, IL 60448-7400 | |
| (708) 481-0095 | |
| (866) 299-8890 |
| Full Name | Dr Victoria O Fadiya |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Women's Health |
| Location | 9405 Bormet Dr Ste 10, Mokena, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033555388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LW0102X | Nurse Practitioner - Women's Health | 277000226 (Illinois) | Primary |
| 363LW0102X | Nurse Practitioner - Women's Health | 209009857 (Illinois) | Secondary |
| Entity Name | University Of Chicago |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20031103000094 |
| Entity Name | The University Of Chicago Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033218128 PECOS PAC ID: 7618880766 Enrollment ID: O20031113000198 |
| Entity Name | Suburban Gynecology Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063602217 PECOS PAC ID: 2062507742 Enrollment ID: O20070927000049 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Victoria O Fadiya, DNP 9405 Bormet Dr Ste 10, Mokena, IL 60448-7400 Ph: (708) 481-0095 | Dr Victoria O Fadiya, DNP 9405 Bormet Dr Ste 10, Mokena, IL 60448-7400 Ph: (708) 481-0095 |
Cynthia Phillips, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11200 W Lincoln Hwy, Mokena, IL 60448 Phone: 815-464-2171 | |
Mrs. Shonda Lynn Farris, RN, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11200 Lincoln Hwy, Mokena, IL 60448 Phone: 815-464-2171 | |
Ms. Irene Bresingham, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11200 W Lincoln Hwy, Mokena, IL 60448 Phone: 815-464-2171 | |
Lindsie Fransen, MSN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11200 Lincoln Hwy, Mokena, IL 60448 Phone: 866-389-2727 | |
Sarah Cupp, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11243 W Laporte Rd, Mokena, IL 60448 Phone: 708-479-4681 Fax: 708-479-8516 | |
Ann Lynn Pampalone, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11200 W Lincoln Hwy, Mokena, IL 60448 Phone: 815-464-2171 Fax: 815-464-2176 |