MEDICARE: ANDREA EUNICE BILLUPS COTA/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker	057.001634	IL

General Provider Information

NPI Number	:	1679749162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA EUNICE BILLUPS COTA/L

Provider Business Mailing Address
First Line	:	4136 LAKEVIEW DR
Second Line	:
City	:	COUNTRY CLUB HILLS
State	:	IL
Zip	:	60478-5151
Country	:	US
Telephone Number	:	708-774-2550
Fax Number	:	708-991-2727

Provider Business Practice Location Address
First Line	:	4136 LAKEVIEW DR
Second Line	:
City	:	COUNTRY CLUB HILLS
State	:	IL
Zip	:	60478-5151
Country	:	US
Telephone Number	:	708-774-2550
Fax Number	:	708-991-2727

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/05/2008
Last Update Date	:	05/05/2008

Similar Medicare Providers

1124951850 — ALLISON KIMBALL
Practice Location Address:

5151 ROUND MEADOW RD
HIDDEN HILLS, CA
91302-1161

Practice Phone: 818-883-6750
Practice Fax:

1386577864 — STEPHANIE MONCADA
Practice Location Address:

5151 ROUND MEADOW RD
HIDDEN HILLS, CA
91302-1161

Practice Phone: 818-883-6750
Practice Fax:

1851302400 — THE O'BRYAN COMPANY INC
Practice Location Address:

5151 GOLDEN FOOTHILL PKWY , STE 140
EL DORADO HILLS, CA
95762-9609

Practice Phone: 916-852-4222
Practice Fax: 916-852-0951

1609481324 — MARY KATHERINE RISEMAN CMT
Practice Location Address:

5151 GOLDEN FOOTHILL PKWY STE 100
EL DORADO HILLS, CA
95762-9630

Practice Phone: 530-306-5170
Practice Fax:

1477427813 — JAMIE GARNER LCPA
Practice Location Address:

2451 ROLLING HILLS DR
FORT MITCHELL, KY
41017-5151

Practice Phone: 859-444-0808
Practice Fax:

1497685341 — MS. MARIKA DUNDORE
Practice Location Address:

5151 ROUND MEADOW RD
HIDDEN HILLS, CA
91302-1161

Practice Phone: 818-883-6750
Practice Fax:

Directions to “ ANDREA EUNICE BILLUPS COTA/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.