Guameda Eady (NPI# 1750757159, PAC ID# 6800196429) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1750757159 |
| PAC ID by PECOS | 6800196429 |
| Professional Enrollment ID | I20151202003053 |
| Full Name | Guameda Eady |
| Organization Legal Name | JENCARE NEIGHBORHOOD MEDICAL CENTER GLENWOOD LLC |
| Address |
19310 S Halsted St Glenwood IL 60425-1562 |
| Phone Number | 7083003132 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1850528100 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 19310 S Halsted St, Glenwood, IL 60425-1562 | 7083003132 | JENCARE NEIGHBORHOOD MEDICAL CENTER GLENWOOD LLC |
| Organization Legal Name | JENCARE NEIGHBORHOOD MEDICAL CENTER GLENWOOD LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard O Phillips | Family Practice | Jencare Neighborhood Medical Center Glenwood LLC | 19310 S Halsted St, Glenwood, IL 60425-1562 |
| Street Address |
19310 S HALSTED ST |
| City | GLENWOOD |
| State | IL |
| Zip | 60425-1562 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard O Phillips | Family Practice | Jencare Neighborhood Medical Center Glenwood LLC | 19310 S Halsted St, Glenwood, IL 60425-1562 |
| City | GLENWOOD |
| Zip Code | 60425 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GLENWOOD + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.