Saleh Mizyed, | |
4440 W 95th St, Oak Lawn, IL 60453-2600 | |
(708) 580-1235 | |
Not Available |
Full Name | Saleh Mizyed |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 4440 W 95th St, Oak Lawn, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1568138253 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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163W00000X | Registered Nurse | 041.456796 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 28280014A (Indiana) | Primary |
Entity Name | Northstar Anesthesia Of Indiana Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043561541 PECOS PAC ID: 1153576905 Enrollment ID: O20130227000297 |
Mailing Address | Practice Location Address |
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Saleh Mizyed, 11436 Autumn Ridge Dr, Orland Park, IL 60467-1343 Ph: (708) 580-1235 | Saleh Mizyed, 4440 W 95th St, Oak Lawn, IL 60453-2600 Ph: (708) 580-1235 |
Rachel A. Betke, CRNA, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5053 | |
Ms. Karen L. Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-8000 | |
Jennifer Ashley Bell, RN, BSN, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-8000 | |
Alaina Becker, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-8000 | |
Dr. Jamie Natale, D.N.P. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5053 | |
Betty Riehl Schmidt, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-5745 | |
Ms. Marygrace F. Coll, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4440 W 95th St, Oak Lawn, IL 60453 Phone: 708-684-8000 |