Alexis Khosravani, | |
2650 Ridge Ave., Dept. Of Anesthesiology, Evanston, IL 60201 | |
(847) 570-2921 | |
Not Available |
Full Name | Alexis Khosravani |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2650 Ridge Ave., Evanston, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306562632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041414842 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209026414 (Illinois) | Primary |
Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
---|---|
Alexis Khosravani, 2650 Ridge Ave., Dept. Of Anesthesiology, Evanston, IL 60201 Ph: (847) 570-2921 | Alexis Khosravani, 2650 Ridge Ave., Dept. Of Anesthesiology, Evanston, IL 60201 Ph: (847) 570-2921 |
Jettero Fushi, APN-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2760 | |
Cristi L. Franklin, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Anesthesiology Room 3905, Evanston, IL 60201 Phone: 847-570-2760 Fax: 847-570-2921 | |
Karen Hamlett-kleinhenz, APN-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Anesthesiology Room 3905, Evanston, IL 60201 Phone: 847-570-2921 Fax: 847-570-2921 | |
Aladin Bihorac, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2000 | |
Matthew Joseph Sadlowsky, APN-CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave., Department Of Anesthesia, Evanston, IL 60201 Phone: 847-570-2760 Fax: 847-570-2921 | |
Shelby Matillano, APN-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-982-3172 | |
Trevor Martin Rogers, DNP CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2000 |