David Cho, | |
3333 Green Bay Rd, North Chicago, IL 60064-3037 | |
(847) 578-3000 | |
Not Available |
Full Name | David Cho |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3333 Green Bay Rd, North Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902578792 | NPI | - | NPPES |
163W00000X | Other | IL | ILLINOIS BOARD OF NURSING |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 1902578792 (Illinois) | Primary |
163W00000X | Registered Nurse | 041.456123 (Illinois) | Secondary |
Entity Name | Northstar Anesthesia Of Illinois, Llc |
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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 |
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David Cho, 3333 Green Bay Rd, North Chicago, IL 60064-3037 Ph: () - | David Cho, 3333 Green Bay Rd, North Chicago, IL 60064-3037 Ph: (847) 578-3000 |
Leslie Loya, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3333 Green Bay Rd, North Chicago, IL 60064 Phone: 915-850-7376 | |
Michael John Kremer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 847-688-1900 | |
Mr. Shane Eugene Lawson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3001 Greenbay Road, North Chicago, IL 60064 Phone: 224-610-4846 |