Ilia S Panov, CRNA | |
801 S Milwaukee Ave, Libertyville, IL 60048-3204 | |
(847) 362-2905 | |
Not Available |
Full Name | Ilia S Panov |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 16 Years |
Location | 801 S Milwaukee Ave, Libertyville, 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 |
---|---|---|---|
1588800296 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 209007349 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Condell Medical Center | Libertyville, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midwest Anesthesia Partners Llc | 6204737596 | 143 |
Entity Name | Advocate Health And Hospitals Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
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 | Illinois Gastroenterology Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316277817 PECOS PAC ID: 5193857423 Enrollment ID: O20100721000790 |
Mailing Address | Practice Location Address |
---|---|
Ilia S Panov, CRNA 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Ilia S Panov, CRNA 801 S Milwaukee Ave, Libertyville, IL 60048-3204 Ph: (847) 362-2905 |
Allison L Peterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048 Phone: 847-362-2900 | |
Kimberly White, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2108 Kenton Ln, Libertyville, IL 60048 Phone: 234-234-8677 | |
Darrel A Storbeck, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048 Phone: 847-362-2900 | |
Mary Grace Kashmar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048 Phone: 847-362-2900 | |
Wilfred E Soppe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048 Phone: 847-362-2900 | |
Brian E Dagel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048 Phone: 847-362-2900 | |
Abby Nowakowski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048 Phone: 847-742-9800 |