Amy Brogley, | |
1324 N Sheridan Rd, Waukegan, IL 60085-2161 | |
(847) 360-3000 | |
Not Available |
Full Name | Amy Brogley |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1324 N Sheridan Rd, Waukegan, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598335564 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN.481312 (Ohio) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209.028581 (Illinois) | Primary |
Entity Name | G & G Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487020111 PECOS PAC ID: 4981912607 Enrollment ID: O20150930000831 |
Mailing Address | Practice Location Address |
---|---|
Amy Brogley, 2030 N 51st St, Milwaukee, WI 53208-1746 Ph: (608) 732-4755 | Amy Brogley, 1324 N Sheridan Rd, Waukegan, IL 60085-2161 Ph: (847) 360-3000 |
Lynn M. Ulrich, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1324 N Sheridan Rd, Waukegan, IL 60085 Phone: 847-360-3000 | |
Ms. Maria A. Hobbs, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1324 N Sheridan Rd, Waukegan, IL 60085 Phone: 847-360-3000 | |
Ms. Ebele Okonkwor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1324 N. Sheridan, Waukegan, IL 60085 Phone: 847-360-3000 |