| Carolyn Elizabeth Otto, CRNA | |
|
251 E Huron St, Chicago, IL 60611-2908 | |
| (312) 695-9013 | |
| Not Available |
| Full Name | Carolyn Elizabeth Otto |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 251 E Huron St, Chicago, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124283023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209007148 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Holy Cross Hospital A Div Of Taos Health Systems | Taos, NM | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Illinois, Llc | 4688893878 | 259 |
| Netherlands Anesthesia, Llc | 8123433588 | 23 |
| Entity Name | Northwestern Medical Faculty Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
| Entity Name | Midwest Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255380184 PECOS PAC ID: 6204737596 Enrollment ID: O20040120000034 |
| Entity Name | North American Partners In Anesthesia Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
| Entity Name | Northstar Anesthesia Of Illinois, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn Elizabeth Otto, CRNA 3766 N Lakewood Ave, 1n, Chicago, IL 60613-3716 Ph: (917) 842-1422 | Carolyn Elizabeth Otto, CRNA 251 E Huron St, Chicago, IL 60611-2908 Ph: (312) 695-9013 |
Mrs. Bonnie Devroe Malik, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797 | |
Debra Farida, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 836 W Wellington Ave, Chicago, IL 60657 Phone: 773-975-1600 | |
Shannon R Galvin, M.D. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St Ste 5-704, Chicago, IL 60611 Phone: 312-695-0061 Fax: 312-695-9013 | |
Flordelina B Corpus, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 850 W Irving Park Rd, Chicago, IL 60613 Phone: 773-975-6705 | |
Mr. Jeremy Philip Carlsen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Feinberg 5-704, Chicago, IL 60611 Phone: 312-926-8369 | |
Christopher Glenn, CRNA, MSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, 3200w, Chicago, IL 60612 Phone: 312-996-4020 | |
Christopher Payne, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1950 W Polk St, Chicago, IL 60612 Phone: 312-864-6000 |