| Reliable Visiting Physicians Inc | |
|
2860 S River Rd Ste 360 Des Plaines IL 60018-6088 | |
| (847) 376-8144 | |
| (847) 376-8597 |
| Full Name | Reliable Visiting Physicians Inc |
|---|---|
| Speciality | General Practice |
| Location | 2860 S River Rd Ste 360, Des Plaines, Illinois |
| Authorized Official Name and Position | Olga B Buckhannon (PRESIDENT) |
| Authorized Official Contact | 8135342240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reliable Visiting Physicians Inc 2860 S River Rd Ste 360 Des Plaines IL 60018-6088 Ph: (847) 376-8144 | Reliable Visiting Physicians Inc 2860 S River Rd Ste 360 Des Plaines IL 60018-6088 Ph: (847) 376-8144 |
| NPI Number | 1578064077 |
|---|---|
| Provider Enumeration Date | 02/21/2018 |
| Last Update Date | 06/12/2025 |
| Medicare PECOS PAC ID | 6406119247 |
|---|---|
| Medicare Enrollment ID | O20180410000365 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578064077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Paul C Tack |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265446017 PECOS PAC ID: 9335129634 Enrollment ID: I20040726000381 |
| Provider Name | Jason S So |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508078643 PECOS PAC ID: 0345329405 Enrollment ID: I20080501000186 |
| Provider Name | Rosaline Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790297463 PECOS PAC ID: 5991062515 Enrollment ID: I20190718002085 |
| Provider Name | Christine Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245865906 PECOS PAC ID: 8527481209 Enrollment ID: I20200714001828 |
| Provider Name | Ma Teresa Datoon Panganiban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558036293 PECOS PAC ID: 9537565528 Enrollment ID: I20210830002627 |
| Provider Name | Keysha Shantate Askew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356945042 PECOS PAC ID: 0042618050 Enrollment ID: I20211006000056 |
| Provider Name | Tanya Arganosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134701444 PECOS PAC ID: 3779975206 Enrollment ID: I20220113000935 |
| Provider Name | Cleauquita Wiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528252061 PECOS PAC ID: 4587712732 Enrollment ID: I20220713002699 |
| Provider Name | Michelle A Tucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316657752 PECOS PAC ID: 3971973579 Enrollment ID: I20221222001633 |
| Provider Name | Wunmi F Olokun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376287680 PECOS PAC ID: 0446613780 Enrollment ID: I20230902000015 |
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