Connor Prokop, CRNA | |
530 N Cass Ave, Westmont, IL 60559-1503 | |
(630) 968-1800 | |
Not Available |
Full Name | Connor Prokop |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 Years |
Location | 530 N Cass Ave, Westmont, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467124776 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 041427958 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventist La Grange Memorial Hospital | La grange, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gottlieb Midwest Anesthesiologists, Llc | 8123929940 | 35 |
Entity Name | Gottlieb Midwest Anesthesiologists, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003832767 PECOS PAC ID: 8123929940 Enrollment ID: O20040115000619 |
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 | Amsurg Oak Lawn Il Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659799948 PECOS PAC ID: 1557587029 Enrollment ID: O20140721000166 |
Mailing Address | Practice Location Address |
---|---|
Connor Prokop, CRNA 9145 Collection Center Dr, Chicago, IL 60693-0001 Ph: () - | Connor Prokop, CRNA 530 N Cass Ave, Westmont, IL 60559-1503 Ph: (630) 968-1800 |
Gregory Souza, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 700 Pasquinelli Dr, Westmont, IL 60559 Phone: 630-990-9729 | |
Hailey Theeck, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 N Cass Ave, Westmont, IL 60559 Phone: 630-968-1800 |