Lisa Rochelle Connell, CRNA | |
701 West North Ave, Melrose Park, IL 60160-1612 | |
(708) 681-3202 | |
Not Available |
Full Name | Lisa Rochelle Connell |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 701 West North Ave, Melrose 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 |
---|---|---|---|
1295766012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041292124 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209005658 (Illinois) | Primary |
Entity Name | Austin Gastroenterology Anesthesia Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427405810 PECOS PAC ID: 6305138603 Enrollment ID: O20160707000274 |
Entity Name | Anesthesia Dynamics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200422002521 |
Mailing Address | Practice Location Address |
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Lisa Rochelle Connell, CRNA 1121 Lake Cook Rd, Ste M, Deer Field, IL 60015-5234 Ph: (847) 945-4550 | Lisa Rochelle Connell, CRNA 701 West North Ave, Melrose Park, IL 60160-1612 Ph: (708) 681-3202 |
Tiffany Jean Vajda, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Andrew M Christ, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Petula M Sharma, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Arshnoor Aslam Qamaruddin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Dana Marie Macaluso, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Samuel Ortega, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Andrew Reichard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 |