Mr Paul Kowalczyk, CRNA | |
1423 Chicago Rd, Chicago Heights, IL 60411-3400 | |
(708) 756-1000 | |
Not Available |
Full Name | Mr Paul Kowalczyk |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1423 Chicago Rd, Chicago Heights, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730101114 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | (Illinois) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | (Illinois) | Primary |
Entity Name | Gottlieb Midwest Anesthesiologists, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003832767 PECOS PAC ID: 8123929940 Enrollment ID: O20040115000619 |
Entity Name | Midwest Anesthesia Partners Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255380184 PECOS PAC ID: 6204737596 Enrollment ID: O20040120000034 |
Entity Name | Anesthesia Associates, Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952308223 PECOS PAC ID: 2961303425 Enrollment ID: O20040224000185 |
Entity Name | Valley Pain Care Centers, Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194722058 PECOS PAC ID: 7517858632 Enrollment ID: O20040320000066 |
Mailing Address | Practice Location Address |
---|---|
Mr Paul Kowalczyk, CRNA 2119 Wicklow Rd, Naperville, IL 60564-3196 Ph: (630) 904-5012 | Mr Paul Kowalczyk, CRNA 1423 Chicago Rd, Chicago Heights, IL 60411-3400 Ph: (708) 756-1000 |
Miss Karen Brown, APN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1423 Chicago Rd, Chicago Heights, IL 60411 Phone: 708-756-1000 | |
Julieanne Olegario, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1423 Chicago Rd, Chicago Heights, IL 60411 Phone: 708-756-1000 | |
Leticia Perea, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1423 Chicago Rd, Chicago Heights, IL 60411 Phone: 708-756-1000 | |
Michael Toth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1423 Chicago Rd, Chicago Heights, IL 60411 Phone: 708-756-1000 |