Mr Benjamin Salazar, CRNA | |
3249 Oak Park Ave, Berwyn, IL 60402-0715 | |
(708) 783-9100 | |
Not Available |
Full Name | Mr Benjamin Salazar |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 6 Years |
Location | 3249 Oak Park Ave, Berwyn, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467926097 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041.422347 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 041.422347 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Osf Saint Anthony Medical Center | Rockford, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
North American Partners In Anesthesia Illinois Llc | 1052576519 | 306 |
Northstar Anesthesia Of Illinois, Llc | 4688893878 | 259 |
Entity Name | North American Partners In Anesthesia Illinois Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
Entity Name | Northstar Anesthesia Of Illinois, Llc |
---|---|
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 |
---|---|
Mr Benjamin Salazar, CRNA 3811 W 51st St, Chicago, IL 60632-3613 Ph: (312) 480-5273 | Mr Benjamin Salazar, CRNA 3249 Oak Park Ave, Berwyn, IL 60402-0715 Ph: (708) 783-9100 |
Telma Karerakattil, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-785-3545 | |
Stanley Ansel Kristiansen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-3013 | |
Jessica Hubl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 773-818-1132 | |
Tita J Jacildo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Anesthesia Department, Berwyn, IL 60402 Phone: 708-783-3667 | |
Elma Divinagracia, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3249 Oak Park Ave, Anesthesia Department, Berwyn, IL 60402 Phone: 708-783-3667 | |
Yoojung Kang, MSN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-2226 | |
Michelle Akan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3249 Oak Park Ave, Berwyn, IL 60402 Phone: 708-783-9100 |