Mrs Emily T Penn, CRNA | |
Cancer Treatment Centers Of America, 2520 Elisha Avenue, Zion, IL 60099 | |
(800) 322-9183 | |
Not Available |
Full Name | Mrs Emily T Penn |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 13 Years |
Location | Cancer Treatment Centers Of America, Zion, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992051056 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 041373674 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209.010199 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Midwestern Region Med Center | Zion, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Patient First Inc | 3274446596 | 94 |
Entity Name | Patient First Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548258072 PECOS PAC ID: 3274446596 Enrollment ID: O20031111000788 |
Entity Name | Midwestern Anesthesiology Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528567831 PECOS PAC ID: 7012279243 Enrollment ID: O20180327002548 |
Mailing Address | Practice Location Address |
---|---|
Mrs Emily T Penn, CRNA Cancer Treatment Centers Of America, 2361 Paysphere Circle, Chicago, IL 60674 Ph: (800) 322-9183 | Mrs Emily T Penn, CRNA Cancer Treatment Centers Of America, 2520 Elisha Avenue, Zion, IL 60099 Ph: (800) 322-9183 |
Randy R Pomar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2520 Elisha Ave, Zion, IL 60099 Phone: 847-872-6259 | |
Samuel Harrison Cannon Jr., Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3302 Wembley Dr, Zion, IL 60099 Phone: 847-977-3483 |