Michalina Christina Koronkowski, | |
1740 W Taylor St Ste 3200w, Chicago, IL 60612-7232 | |
(312) 996-4050 | |
(312) 996-4019 |
Full Name | Michalina Christina Koronkowski |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1740 W Taylor St Ste 3200w, Chicago, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1336923945 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 209028538 (Illinois) | Primary |
Entity Name | The Board Of Trustees Of The University Of Illinois |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
Entity Name | Northstar Anesthesia Of Illinois, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
Mailing Address | Practice Location Address |
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Michalina Christina Koronkowski, 1714 Rawson Ave, South Milwaukee, WI 53172-1848 Ph: (414) 750-5268 | Michalina Christina Koronkowski, 1740 W Taylor St Ste 3200w, Chicago, IL 60612-7232 Ph: (312) 996-4050 |
Mrs. Bonnie Devroe Malik, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797 | |
Debra Farida, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 836 W Wellington Ave, Chicago, IL 60657 Phone: 773-975-1600 | |
Shannon R Galvin, M.D. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St Ste 5-704, Chicago, IL 60611 Phone: 312-695-0061 Fax: 312-695-9013 | |
Flordelina B Corpus, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 850 W Irving Park Rd, Chicago, IL 60613 Phone: 773-975-6705 | |
Mr. Jeremy Philip Carlsen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Feinberg 5-704, Chicago, IL 60611 Phone: 312-926-8369 | |
Christopher Glenn, CRNA, MSN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, 3200w, Chicago, IL 60612 Phone: 312-996-4020 | |
Christopher Payne, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1950 W Polk St, Chicago, IL 60612 Phone: 312-864-6000 |