MEDICARE: NAOMI FELLOWS

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	171M00000X	Case Manager/Care Coordinator		IL

General Provider Information

NPI Number	:	1417882119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAOMI FELLOWS

Provider Business Mailing Address
First Line	:	943 SANDPIPER CT
Second Line	:
City	:	BARTLETT
State	:	IL
Zip	:	60103-4849
Country	:	US
Telephone Number	:	224-401-2017
Fax Number	:	224-401-2017

Provider Business Practice Location Address
First Line	:	943 SANDPIPER CT
Second Line	:
City	:	BARTLETT
State	:	IL
Zip	:	60103-4849
Country	:	US
Telephone Number	:	224-401-2017
Fax Number	:	224-401-2017

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

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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Directions to “ NAOMI FELLOWS ” Practice Location

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