Dr Nicholas Iden, DNP | |
2160 S 1st Ave, Maywood, IL 60153-3328 | |
(888) 584-7888 | |
Not Available |
Full Name | Dr Nicholas Iden |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2160 S 1st Ave, Maywood, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1780301028 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 041409236 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209026518 (Illinois) | Primary |
Entity Name | Loyola University Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
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 |
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Dr Nicholas Iden, DNP 2615 N Forrest Ln, Arlington Heights, IL 60004-2241 Ph: () - | Dr Nicholas Iden, DNP 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (888) 584-7888 |
Joseph Marinaro, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-8785 | |
Mark Byram, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Laura Hartman, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 847-347-9847 | |
Joshua Mitchell, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-3619 | |
Joy Malenie Chaksupa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-5856 | |
Sara A Park, APRN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Luis Enrique Negron, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 |