| Laura J Minore, CRNA | |
|
2202 Harlem Rd, Loves Park, IL 61111-2754 | |
| (815) 877-4848 | |
| (815) 654-5342 |
| Full Name | Laura J Minore |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2202 Harlem Rd, Loves Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669586228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | (Illinois) | Primary |
| Entity Name | Rockford Anesthesiologists Associated Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629090642 PECOS PAC ID: 5597668004 Enrollment ID: O20040517001037 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura J Minore, CRNA 2202 Harlem Rd, Loves Park, IL 61111-2754 Ph: (815) 877-4848 | Laura J Minore, CRNA 2202 Harlem Rd, Loves Park, IL 61111-2754 Ph: (815) 877-4848 |
Kathleen M. Schroeder, C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2202 Harlem Rd, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 | |
Mr. Lowell S. Wills, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2202 Harlem Road, Suite 200, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-636-6125 | |
Ronald J. Frenk, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2202 Harlem Rd, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 | |
Malynnda A. Mueller, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Rd, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 | |
Justin Erik Utley, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2202 Harlem Rd, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-636-6125 | |
Paula M. Dobrowolska, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Rd, Suite 200, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 | |
Joni D. Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Road, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 |