Mariellen Patricia Antman is a Lake Forest, Illinois based nurse practitioner with 21 years of experience in . She completed her graduation in 2003. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mariellen Patricia Antman is 209.005116 for Adult Health in Illinois. Her current practice location is 800 N Westmoreland Rd, Suite 205, Lake Forest. Patients can reach her at 847-735-8550 or can fax her at 847-535-8590. Mariellen Patricia Antman is APN-CNP and her NPI number (Unique professional ID assigned by NPPES) is 1235271941. Mariellen Patricia Antman has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mariellen Patricia Antman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mariellen Patricia Antman
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
APN-CNP
Experience:
21+ years
Medical School Attended:
Other
Graduation Year:
2003
Accepts Medicare Assignment:
Yes
Practice Address:
800 N Westmoreland Rd, Suite 205, Lake Forest, Illinois, 60045-1673
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5890754741
Enrollment ID:
I20041006000697
NPI Number:
1235271941
NPI Enumeration Date:
12 Feb, 2007
NPI Last Update On:
13 Oct, 2016
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mariellen Patricia Antman are as mentioned below.
License Number
Specialization
State
Status
209.005116
Adult Health
Illinois
Primary
041202000
Registered Nurse
Illinois
Secondary
209005116
Nurse Practitioner
Illinois
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(140258)
Elk grove village, IL
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mariellen Patricia Antman is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Northwestern Medical Faculty Foundation (4587576814)
2656
Other Medical Identifiers:
Other legacy medical identifiers associated with Mariellen Patricia Antman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
IL6304003
Other
Illinois
MEDICARE PTAN LOC 16
IL6305003
Other
Illinois
MEDICARE PTAN LOC 15
1720371669
Other
Illinois
NPI GROUP PRACTICE
P01058711
Other
Illinois
RRMC PTAN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mariellen Patricia Antman 251 E Huron St, Chicago, Illinois
Zip:
60611-2908
Phone Number:
847-735-8550
Fax Number:
847-535-8590
Patients can reach Mariellen Patricia Antman at 800 N Westmoreland Rd, Suite 205, Lake Forest, Illinois or can call to book an appointment on 847-735-8550.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.