| Wellessencemd | |
|
919 N Plum Grove Rd Unit A Schaumburg IL 60173-5144 | |
| (847) 850-8185 | |
| (978) 701-6065 |
| Full Name | Wellessencemd |
|---|---|
| Speciality | Internal Medicine |
| Location | 919 N Plum Grove Rd, Schaumburg, Illinois |
| Authorized Official Name and Position | Kara Nance (PRESIDENT) |
| Authorized Official Contact | 8478508185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellessencemd 919 N Plum Grove Rd Unit A Schaumburg IL 60173-5144 Ph: (847) 850-8185 | Wellessencemd 919 N Plum Grove Rd Unit A Schaumburg IL 60173-5144 Ph: (847) 850-8185 |
| NPI Number | 1154613537 |
|---|---|
| Provider Enumeration Date | 05/04/2011 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0941478077 |
|---|---|
| Medicare Enrollment ID | O20110715000528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154613537 | NPI | - | NPPES |
| 036108728 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kara J Nance |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346295763 PECOS PAC ID: 2668361502 Enrollment ID: I20040310001515 |
| Provider Name | Heldi R Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588037915 PECOS PAC ID: 1759681448 Enrollment ID: I20151202001375 |
| Provider Name | Melissa Gail Marte-nordsieck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639614738 PECOS PAC ID: 8123384708 Enrollment ID: I20171115000457 |
| Provider Name | Kathy A Wajda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205327590 PECOS PAC ID: 3274889605 Enrollment ID: I20180627002022 |
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