Kevin Richard Stovall, CRNA | |
2650 Ridge Ave, Evanston, IL 60201-1700 | |
(847) 570-2760 | |
(847) 570-2921 |
Full Name | Kevin Richard Stovall |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2650 Ridge Ave, Evanston, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861183154 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 144036 (North Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209029883 (Illinois) | Primary |
Entity Name | Chs Anesthesia Services Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346649415 PECOS PAC ID: 5799007324 Enrollment ID: O20141209001856 |
Mailing Address | Practice Location Address |
---|---|
Kevin Richard Stovall, CRNA 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: (847) 570-2760 | Kevin Richard Stovall, CRNA 2650 Ridge Ave, Evanston, IL 60201-1700 Ph: (847) 570-2760 |
Jettero Fushi, APN-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2760 | |
Cristi L. Franklin, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Anesthesiology Room 3905, Evanston, IL 60201 Phone: 847-570-2760 Fax: 847-570-2921 | |
Karen Hamlett-kleinhenz, APN-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Anesthesiology Room 3905, Evanston, IL 60201 Phone: 847-570-2921 Fax: 847-570-2921 | |
Aladin Bihorac, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2000 | |
Matthew Joseph Sadlowsky, APN-CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave., Department Of Anesthesia, Evanston, IL 60201 Phone: 847-570-2760 Fax: 847-570-2921 | |
Shelby Matillano, APN-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-982-3172 | |
Trevor Martin Rogers, DNP CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2000 |