| University Anesthesiologists Sc | |
|
1653 W Congress Pkwy 735 Jelke Anesthesia Dept. Chicago IL 60612-3833 | |
| (312) 942-6504 | |
| (312) 942-5773 |
| Full Name | University Anesthesiologists Sc |
|---|---|
| Speciality | Anesthesiology |
| Location | 1653 W Congress Pkwy, Chicago, Illinois |
| Authorized Official Name and Position | Kenneth Tuman (PRESIDENT) |
| Authorized Official Contact | 3129423135 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Anesthesiologists Sc 1653 W Congress Pkwy 735 Jelke Anesthesia Dept. Chicago IL 60612-3833 Ph: (312) 942-6504 | University Anesthesiologists Sc 1653 W Congress Pkwy 735 Jelke Anesthesia Dept. Chicago IL 60612-3833 Ph: (312) 942-6504 |
| NPI Number | 1073558136 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 01/02/2015 |
| Medicare PECOS PAC ID | 4183512080 |
|---|---|
| Medicare Enrollment ID | O20040415000513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073558136 | NPI | - | NPPES |
| Provider Name | Robert W Molnar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881601243 PECOS PAC ID: 8628979440 Enrollment ID: I20040127000085 |
| Provider Name | Arcangelo M Iusco |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609834225 PECOS PAC ID: 3577466564 Enrollment ID: I20040128000616 |
| Provider Name | Jeffrey J Podnar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124117213 PECOS PAC ID: 5597651091 Enrollment ID: I20040223000849 |
| Provider Name | Edelberto C Perez |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1881705242 PECOS PAC ID: 3678460086 Enrollment ID: I20040301001121 |
| Provider Name | Richard J Ropp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285674747 PECOS PAC ID: 7618962507 Enrollment ID: I20040419001622 |
| Provider Name | Angela Benzuly |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1134141104 PECOS PAC ID: 6800869546 Enrollment ID: I20040819000520 |
| Provider Name | William A Mcdade |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1417012634 PECOS PAC ID: 1153397450 Enrollment ID: I20040908000966 |
| Provider Name | Eric R Sloan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922034958 PECOS PAC ID: 4486546033 Enrollment ID: I20041008001399 |
| Provider Name | James Colombo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972692069 PECOS PAC ID: 6002871464 Enrollment ID: I20041124000445 |
| Provider Name | Renee Przygodzka |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447438882 PECOS PAC ID: 5092771477 Enrollment ID: I20041207001021 |
| Provider Name | Brian Alan Myers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1619997293 PECOS PAC ID: 7214953090 Enrollment ID: I20051020000743 |
| Provider Name | Steven L Outly |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1962422055 PECOS PAC ID: 7517987449 Enrollment ID: I20051206000902 |
| Provider Name | Edmund B Mangahas |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871540443 PECOS PAC ID: 4183648926 Enrollment ID: I20060120000056 |
| Provider Name | Parag D Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1457376451 PECOS PAC ID: 4385641810 Enrollment ID: I20061026000089 |
| Provider Name | Heather Kalejs |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1316039829 PECOS PAC ID: 2860492865 Enrollment ID: I20061221000337 |
| Provider Name | Joyal M Degani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225087489 PECOS PAC ID: 8325084676 Enrollment ID: I20080212000680 |
| Provider Name | Wieslaw J Podlasek |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013188598 PECOS PAC ID: 2961580675 Enrollment ID: I20080422000329 |
| Provider Name | Betty J Riehl Schmidt |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1306813878 PECOS PAC ID: 1658360110 Enrollment ID: I20081217000071 |
| Provider Name | Emily C Grossman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1871731802 PECOS PAC ID: 8123184967 Enrollment ID: I20090304000071 |
| Provider Name | Brian Birmingham |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790717379 PECOS PAC ID: 5092601187 Enrollment ID: I20090319000228 |
| Provider Name | Santhanam Suresh |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1801823976 PECOS PAC ID: 0345397121 Enrollment ID: I20090414000228 |
| Provider Name | Alicia A Citari |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972692119 PECOS PAC ID: 0244397883 Enrollment ID: I20100812000565 |
| Provider Name | Christopher J Oconnor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1164442505 PECOS PAC ID: 0446375091 Enrollment ID: I20100920000405 |
| Provider Name | Arvind Rajagopal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053415539 PECOS PAC ID: 9133244783 Enrollment ID: I20100920000448 |
| Provider Name | Joel Biala |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326084369 PECOS PAC ID: 6305961954 Enrollment ID: I20100920000462 |
| Provider Name | Asokumar Buvanendran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598781676 PECOS PAC ID: 0547385007 Enrollment ID: I20100921000721 |
| Provider Name | Kenneth J Tuman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114022662 PECOS PAC ID: 2163574138 Enrollment ID: I20101019000974 |
| Provider Name | David M Rothenberg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1770687295 PECOS PAC ID: 7113110404 Enrollment ID: I20101019001052 |
| Provider Name | George P Katsoyannis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023041290 PECOS PAC ID: 6204029507 Enrollment ID: I20101019001074 |
| Provider Name | Rosemarie Andres |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154350460 PECOS PAC ID: 1153514450 Enrollment ID: I20101019001119 |
| Provider Name | Timothy R Lubenow |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1922024470 PECOS PAC ID: 3779471669 Enrollment ID: I20101022001342 |
| Provider Name | Matthew P Jaycox |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1326204199 PECOS PAC ID: 9739373028 Enrollment ID: I20101101000294 |
| Provider Name | Sandeep D Amin |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1184792251 PECOS PAC ID: 7810182656 Enrollment ID: I20101105001328 |
| Provider Name | Sarah M Cocoma |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1649495144 PECOS PAC ID: 7012103518 Enrollment ID: I20101123000659 |
| Provider Name | Marijana Ljubanovic Lazarevic |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1033135686 PECOS PAC ID: 5395932917 Enrollment ID: I20101208001193 |
| Provider Name | David Sklar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447354972 PECOS PAC ID: 1951599125 Enrollment ID: I20110103000971 |
| Provider Name | Lakshmi Iyer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639195464 PECOS PAC ID: 1557559721 Enrollment ID: I20110103001015 |
| Provider Name | Barbara J Partida |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1275837122 PECOS PAC ID: 9436339744 Enrollment ID: I20110203000496 |
| Provider Name | Michael J Sobczak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235109307 PECOS PAC ID: 6800829045 Enrollment ID: I20110210000307 |
| Provider Name | Melissa Wickart |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1912209321 PECOS PAC ID: 1254512031 Enrollment ID: I20110228000286 |
| Provider Name | Yvonne L Oconnor |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1982907705 PECOS PAC ID: 6608058417 Enrollment ID: I20110315000277 |
| Provider Name | Lynn Casale |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1326070269 PECOS PAC ID: 4183800808 Enrollment ID: I20110513000620 |
| Provider Name | David A Akre |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942578042 PECOS PAC ID: 8426945478 Enrollment ID: I20120323000442 |
| Provider Name | Abdul Q Khan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255315586 PECOS PAC ID: 4880749449 Enrollment ID: I20130405000481 |
| Provider Name | Sherine Cherian |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235572082 PECOS PAC ID: 6507009511 Enrollment ID: I20130823000319 |
| Provider Name | Behnoosh Shayegan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1114233459 PECOS PAC ID: 9234363672 Enrollment ID: I20131017001925 |
| Provider Name | Cathleen N Rojas |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1164843066 PECOS PAC ID: 6608007851 Enrollment ID: I20140401001223 |
| Provider Name | Tara M Galambos |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790013027 PECOS PAC ID: 1254471139 Enrollment ID: I20150327001859 |
| Provider Name | Elizabeth Bassett |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1053717033 PECOS PAC ID: 5395063176 Enrollment ID: I20150407000517 |
| Provider Name | Lisa R Arford |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1235515909 PECOS PAC ID: 0648585596 Enrollment ID: I20150820011841 |
| Provider Name | Annmarie Bach |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477935112 PECOS PAC ID: 7810203676 Enrollment ID: I20150825004405 |
| Provider Name | Yulia M Demidovich |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306897475 PECOS PAC ID: 5698731974 Enrollment ID: I20150831000013 |
| Provider Name | Alisha Sachdev |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578768487 PECOS PAC ID: 7315162385 Enrollment ID: I20150902000254 |
| Provider Name | Kelly Gallagher |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1205233707 PECOS PAC ID: 9032425061 Enrollment ID: I20150904001368 |
| Provider Name | Emily L Heinowski |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396118048 PECOS PAC ID: 2567762651 Enrollment ID: I20151120002255 |
| Provider Name | Christina M Kang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679563381 PECOS PAC ID: 1456392836 Enrollment ID: I20160310002355 |
| Provider Name | Michael Edward Holland |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598054470 PECOS PAC ID: 5698093227 Enrollment ID: I20170609001067 |
| Provider Name | Neal A Mehta |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1497011407 PECOS PAC ID: 3971898719 Enrollment ID: I20171103000397 |
| Provider Name | Kelly C Lannert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649789082 PECOS PAC ID: 5799048013 Enrollment ID: I20180418001679 |
| Provider Name | Nicolas Patonai |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1073927653 PECOS PAC ID: 2264738715 Enrollment ID: I20181001001418 |
| Provider Name | Jonathan Schirripa |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1447601851 PECOS PAC ID: 0547553083 Enrollment ID: I20190219000069 |
| Provider Name | Margaret Elise Griesemer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346654035 PECOS PAC ID: 7911290887 Enrollment ID: I20190912000715 |
| Provider Name | Phillip R Traylor |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437564804 PECOS PAC ID: 1153667076 Enrollment ID: I20191015003607 |
| Provider Name | Gopi R Patel |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1427462282 PECOS PAC ID: 4284068032 Enrollment ID: I20200102001753 |
| Provider Name | Mary Julia-rodzik Hoeh |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1467756551 PECOS PAC ID: 7113100348 Enrollment ID: I20200423002125 |
| Provider Name | Rachel N Heise |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1417578980 PECOS PAC ID: 2264857796 Enrollment ID: I20200731000271 |
| Provider Name | Tolga H Suvar |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1861887291 PECOS PAC ID: 4880900125 Enrollment ID: I20200804001961 |
| Provider Name | Alaeddin A Tarhuni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1639589948 PECOS PAC ID: 8325336324 Enrollment ID: I20201021003198 |
| Provider Name | Carole Zouki |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982158218 PECOS PAC ID: 6507151198 Enrollment ID: I20210811000978 |
| Provider Name | Elizabeth R Cooney |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1558891507 PECOS PAC ID: 2466722210 Enrollment ID: I20211215000973 |
| Provider Name | Supriya Nair |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1790206951 PECOS PAC ID: 9234403049 Enrollment ID: I20220222002017 |
| Provider Name | Graham Lubinsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1841533049 PECOS PAC ID: 3870864747 Enrollment ID: I20220712001759 |
| Provider Name | Spencer Leblang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1154852952 PECOS PAC ID: 8022388677 Enrollment ID: I20220713004058 |
| Provider Name | Michael Patrick Tripp |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1669977302 PECOS PAC ID: 8820470818 Enrollment ID: I20220808002817 |
| Provider Name | Nabil Othman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1740879030 PECOS PAC ID: 6608252432 Enrollment ID: I20221003001252 |
| Provider Name | Sheila Darlene Cooper |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578564217 PECOS PAC ID: 1850455312 Enrollment ID: I20221007001066 |
| Provider Name | Ebonee Monique Blake |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1083356745 PECOS PAC ID: 9537535042 Enrollment ID: I20221024001923 |
| Provider Name | Alexi Pollet |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437640539 PECOS PAC ID: 4183971005 Enrollment ID: I20221027001248 |
| Provider Name | Kadhiresan Murugappan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1013250315 PECOS PAC ID: 9638469794 Enrollment ID: I20221028001303 |
| Provider Name | Kristin Powers |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1134658297 PECOS PAC ID: 3971873530 Enrollment ID: I20221028001366 |
| Provider Name | Ashley Lauren Waring |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1396205431 PECOS PAC ID: 3375954795 Enrollment ID: I20230203000643 |
| Provider Name | Matthew Shaw |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790829075 PECOS PAC ID: 9537186754 Enrollment ID: I20230606000961 |
| Provider Name | Gregory Martin Kasson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922614635 PECOS PAC ID: 5890152805 Enrollment ID: I20230607001105 |
| Provider Name | Deepali Garg |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1982170601 PECOS PAC ID: 6204171994 Enrollment ID: I20230710001460 |
| Provider Name | Edwin Francisco Narvaez Torres |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205315447 PECOS PAC ID: 1254790108 Enrollment ID: I20230710003180 |
| Provider Name | Nicholas Gius |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619433166 PECOS PAC ID: 3971964057 Enrollment ID: I20230806000125 |
| Provider Name | Kari Hermanson |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1942921556 PECOS PAC ID: 1052774726 Enrollment ID: I20230828004028 |
| Provider Name | Carlos Salez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1215460563 PECOS PAC ID: 7214214568 Enrollment ID: I20230828004069 |
| Provider Name | Sheri Rylko |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1689130247 PECOS PAC ID: 9335502533 Enrollment ID: I20230905002532 |
| Provider Name | Ashley T Kydes |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1356789887 PECOS PAC ID: 4880964220 Enrollment ID: I20230926002011 |
| Provider Name | Shuchi Jain |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952893414 PECOS PAC ID: 4981952231 Enrollment ID: I20231012003295 |
| Provider Name | Elizabeth Jekli |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073079653 PECOS PAC ID: 2961858816 Enrollment ID: I20231027003267 |
| Provider Name | Marion Lyman |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1568083442 PECOS PAC ID: 2961851779 Enrollment ID: I20231205002979 |
| Provider Name | Heidi L. Aguilar |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043703796 PECOS PAC ID: 4284083494 Enrollment ID: I20231213003313 |
Philip K Mccullough Md Sc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 E Huron St, Suite 11-100, Chicago, IL 60611 Phone: 312-695-3680 Fax: 312-926-3709 | |
Amy Lynn, Lcpc, Atr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3020 N Lincoln Ave, Flourish Studios, Chicago, IL 60657 Phone: 773-746-7429 | |
K.a.m Alliance, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2215 W 95th St Ste 100, Chicago, IL 60643 Phone: 773-239-9600 Fax: 773-239-9601 | |
King Community Mental Health Center Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4455 S King Drive, Suite 101, Chicago, IL 60653 Phone: 773-536-2700 Fax: 773-751-2250 | |
Young Adult Program Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4219 N Lincoln Ave, Chicago, IL 60618 Phone: 773-572-5500 Fax: 773-537-3488 | |
Professional Diagnostic Service, S.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 W Van Buren St, Chicago, IL 60607 Phone: 312-491-0404 Fax: 312-491-0505 | |
Universal Medical Group Ltd. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 809 E 42nd Pl, Chicago, IL 60653 Phone: 773-285-3422 |