MEDICARE: ANDREA DENISE POWELL

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	363LF0000X	Family Nurse Practitioner	209021507	IL

General Provider Information

NPI Number	:	1689298267
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA DENISE POWELL

Provider Business Mailing Address
First Line	:	3510 W 79TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60652-1430
Country	:	US
Telephone Number	:	773-978-0757
Fax Number	:	773-978-0705

Provider Business Practice Location Address
First Line	:	3510 W 79TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60652-1430
Country	:	US
Telephone Number	:	773-978-0757
Fax Number	:

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

Provider Enumeration Date	:	05/30/2020
Last Update Date	:	03/16/2021

Similar Medicare Providers

1720039373 — QUALITY HOME CARE SERVICES LTD
Practice Location Address:

3510 W 79TH ST
CHICAGO, IL
60652-1430

Practice Phone: 773-471-0890
Practice Fax: 773-471-0280

1427093251 — ILLIANA HOME MEDICAL EQUIPMENT AND SUPPLIES LLC
Practice Location Address:

3510 W 79TH ST
CHICAGO, IL
60652-1430

Practice Phone: 773-778-8800
Practice Fax: 773-778-8808

1568753259 — ACCUSCI LABS INC
Practice Location Address:

3510 W 79TH ST , SUITE 3
CHICAGO, IL
60652-1430

Practice Phone: 773-863-5164
Practice Fax: 773-863-8819

1083095293 — RICHARD FELICELDA
Practice Location Address:

3510 W 79TH ST , SUITE 4
CHICAGO, IL
60652-1430

Practice Phone: 847-329-7500
Practice Fax: 847-807-4403

1720537384 — CHICAGOLAND PHYSICIAN CONSORTIUM, LLC
Practice Location Address:

3510 W 79TH ST
CHICAGO, IL
60652-1430

Practice Phone: 773-459-9661
Practice Fax: 312-631-2892

1164917720 — MR.OAK
Practice Location Address:

3510 W 79TH ST
CHICAGO, IL
60652-1430

Practice Phone: 312-259-8555
Practice Fax: 773-978-0705

Directions to “ ANDREA DENISE POWELL ” 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.