Ruben P Dettman, CRNA | |
1425 N Randall Rd, Elgin, IL 60123-2300 | |
(630) 456-5593 | |
Not Available |
Full Name | Ruben P Dettman |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 3 Years |
Location | 1425 N Randall Rd, Elgin, 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 |
---|---|---|---|
1881266971 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041431339 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209.023868 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Advocate Sherman Hospital | Elgin, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Advocate Health And Hospitals Corporation | 7810800935 | 2484 |
Entity Name | Advocate Health And Hospitals Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Entity Name | Midwest Anesthesia Providers Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295189082 PECOS PAC ID: 9830480581 Enrollment ID: O20160628000182 |
Mailing Address | Practice Location Address |
---|---|
Ruben P Dettman, CRNA 29373 Network Pl, Chicago, IL 60673-1293 Ph: () - | Ruben P Dettman, CRNA 1425 N Randall Rd, Elgin, IL 60123-2300 Ph: (630) 456-5593 |
Kathryn Orona, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 77 N Airlite St, Elgin, IL 60123 Phone: 847-695-3200 | |
Janine A. Goodsite, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 77 N Airlite St, Elgin, IL 60123 Phone: 312-695-3200 | |
James Redding, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1425 N Randall Rd, Elgin, IL 60123 Phone: 224-783-2932 Fax: 224-783-2032 | |
Laura J Sostak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 934 Center St, Elgin, IL 60120 Phone: 847-742-9800 | |
Joan Young, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 77 N Airlite St, Elgin, IL 60123 Phone: 847-695-3200 | |
Mrs. Ashley Krynski, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 77 N Airlite St, Elgin, IL 60123 Phone: 847-695-3200 | |
Souphaphone Bounmythavong Nicksic, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1425 N Randall Rd, Elgin, IL 60123 Phone: 224-783-1065 Fax: 224-783-2852 |