Jill D Whiteside, CRNA | |
3333 N Seminary St, Galesburg, IL 61401-1251 | |
(309) 344-3161 | |
(309) 344-9498 |
Full Name | Jill D Whiteside |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 3333 N Seminary St, Galesburg, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093882227 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | (Illinois) | Primary |
Entity Name | Memorial Hospital Association |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730139031 PECOS PAC ID: 0244134682 Enrollment ID: O20031126000246 |
Entity Name | Mcdonough County Hospital District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871704874 PECOS PAC ID: 0446140180 Enrollment ID: O20040317000808 |
Entity Name | Hammond Henry Dist Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457344491 PECOS PAC ID: 0143115949 Enrollment ID: O20040505000524 |
Entity Name | Memorial Hospital Association |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1730139031 PECOS PAC ID: 0244134682 Enrollment ID: O20140626000252 |
Entity Name | Osf Multi-specialty Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
Mailing Address | Practice Location Address |
---|---|
Jill D Whiteside, CRNA 3333 N Seminary St, Galesburg, IL 61401-1251 Ph: () - | Jill D Whiteside, CRNA 3333 N Seminary St, Galesburg, IL 61401-1251 Ph: (309) 344-3161 |
Patricia M Wilson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 Fax: 309-344-9498 | |
Ann Weik, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 | |
Timothy F Sullivan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 695 N Kellogg St, Galesburg, IL 61401 Phone: 309-434-8131 | |
Mr. Nicholas Becker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 Fax: 309-344-9498 | |
Ryan James Bonham, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 695 N Kellogg St, Galesburg, IL 61401 Phone: 309-343-8131 | |
Christine Fredrickson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 |