Katelynn Malivert, APRN | |
800 W Central Rd, Arlington Heights, IL 60005-2349 | |
(847) 570-2760 | |
(847) 570-2921 |
Full Name | Katelynn Malivert |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 800 W Central Rd, Arlington Heights, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437885415 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 137863 (Florida) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209030071 (Illinois) | Primary |
Entity Name | Anesthesiology Services Network Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821076779 PECOS PAC ID: 8820902794 Enrollment ID: O20031114000467 |
Entity Name | Sandusky Anesthesia Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770907859 PECOS PAC ID: 3274895271 Enrollment ID: O20180402000752 |
Mailing Address | Practice Location Address |
---|---|
Katelynn Malivert, APRN 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: (847) 982-6715 | Katelynn Malivert, APRN 800 W Central Rd, Arlington Heights, IL 60005-2349 Ph: (847) 570-2760 |
Elisa Lindholm Hillman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 W Central Rd, Arlington Heights, IL 60005 Phone: 847-570-2760 | |
Maria Palu, APN- CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 W Central Rd, Arlington Heights, IL 60005 Phone: 847-570-2760 | |
Eugene Vayman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2111 S Arlington Heights Rd, Arlington Heights, IL 60005 Phone: 314-706-2715 | |
Ms. Jill M Thomas, APN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 126 E. Wing St, Arlington Heights, IL 60004 Phone: 847-368-0767 Fax: 847-670-3483 | |
Doris K. Walsh, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 126 E Wing St, #182, Arlington Heights, IL 60004 Phone: 866-839-7136 Fax: 866-245-7239 | |
Jamie T Kedzior, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 W Central Rd, Arlington Heights, IL 60005 Phone: 847-570-2760 |