Soula Karnezis, CRNA | |
5101 Willow Springs Rd, La Grange, IL 60525-2600 | |
(708) 352-1200 | |
Not Available |
Full Name | Soula Karnezis |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 22 Years |
Location | 5101 Willow Springs Rd, La Grange, 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 |
---|---|---|---|
1023044955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 041302186 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventist La Grange Memorial Hospital | La grange, IL | Hospital |
Adventist Hinsdale Hospital | Hinsdale, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Midwest Anesthesia Partners Llc | 6204737596 | 143 |
Gottlieb Midwest Anesthesiologists, Llc | 8123929940 | 35 |
Entity Name | Gottlieb Midwest Anesthesiologists, Llc |
---|---|
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 |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255380184 PECOS PAC ID: 6204737596 Enrollment ID: O20040120000034 |
Entity Name | Primary Healthcare Associates Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467442293 PECOS PAC ID: 4688635337 Enrollment ID: O20041026000077 |
Entity Name | Harvey Anesthesiologists Sc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477525483 PECOS PAC ID: 3779545462 Enrollment ID: O20041104000076 |
Mailing Address | Practice Location Address |
---|---|
Soula Karnezis, CRNA 255 W Michigan Ave, Jackson, MI 49201-2218 Ph: (517) 787-6440 | Soula Karnezis, CRNA 5101 Willow Springs Rd, La Grange, IL 60525-2600 Ph: (708) 352-1200 |
Ms. Jennifer M Antone, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5101 Willow Springs Rd, La Grange, IL 60525 Phone: 708-245-6600 Fax: 708-245-5608 | |
Shirley A Mondragon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5101 Willow Springs Rd, La Grange, IL 60525 Phone: 708-352-1200 |