Mr Daryl Steven Watson Jr, CRNA | |
1770 1st St, Suite 703, Highland Park, IL 60035-3200 | |
(847) 404-9046 | |
Not Available |
Full Name | Mr Daryl Steven Watson Jr |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 15 Years |
Location | 1770 1st St, Highland Park, 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 |
---|---|---|---|
1407099328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041-344775 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209007714 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Franciscan Health Munster | Munster, IN | Hospital |
Franciscan Health Dyer | Dyer, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Northstar Anesthesia Of Indiana Llc | 1153576905 | 115 |
Entity Name | Lakeshore Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548210560 PECOS PAC ID: 1951322353 Enrollment ID: O20051213000682 |
Entity Name | Northstar Anesthesia Of Indiana Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043561541 PECOS PAC ID: 1153576905 Enrollment ID: O20130227000297 |
Entity Name | Northstar Anesthesia Of Indiana Ii Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629475421 PECOS PAC ID: 6305161654 Enrollment ID: O20150210000088 |
Mailing Address | Practice Location Address |
---|---|
Mr Daryl Steven Watson Jr, CRNA 1933 W 85th Ave, Apt M383, Merrillville, IN 46410-8801 Ph: (708) 373-4541 | Mr Daryl Steven Watson Jr, CRNA 1770 1st St, Suite 703, Highland Park, IL 60035-3200 Ph: (847) 404-9046 |
Kathleen Mary Mcchristian, APN-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 718 Glenview Ave, Department Of Anesthesia, Highland Park, IL 60035 Phone: 847-480-3852 Fax: 847-480-3712 | |
Carol Daniels Porter, CRNA, M.S. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 718 Glenview Ave, Anesthesia Department, Highland Park, IL 60035 Phone: 847-480-3852 Fax: 847-480-3712 | |
Mark J Trabado, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1770 1st St, Highland Park, IL 60035 Phone: 847-433-1539 Fax: 847-433-1552 | |
Mr. Rene Rafi, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1770 1st St Ste 703, Highland Park, IL 60035 Phone: 847-433-1542 | |
Bernadette Skladzien, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 718 Glenview Ave, Dept Of Anesthesia, Highland Park, IL 60035 Phone: 847-480-3852 Fax: 847-480-3712 | |
Sean Corbett, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 718 Glenview Ave, Dept Of Anesthesia, Highland Park, IL 60035 Phone: 847-480-3852 Fax: 847-480-3712 |