Suzanne Olha Park, CRNA | |
701 W North Ave, Melrose Park, IL 60160-1612 | |
(708) 681-7859 | |
Not Available |
Full Name | Suzanne Olha Park |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 701 W North Ave, Melrose Park, 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 |
---|---|---|---|
1871805648 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 041-336253 (Illinois) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 209008274 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Arete Anesthesia Llc | 6709161961 | 11 |
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 | Arete Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801336870 PECOS PAC ID: 6709161961 Enrollment ID: O20170330001669 |
Mailing Address | Practice Location Address |
---|---|
Suzanne Olha Park, CRNA 1121 Lake Cook Rd Ste M, Deerfield, IL 60015-5234 Ph: (847) 945-4550 | Suzanne Olha Park, CRNA 701 W North Ave, Melrose Park, IL 60160-1612 Ph: (708) 681-7859 |
Tiffany Jean Vajda, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Andrew M Christ, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Petula M Sharma, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Arshnoor Aslam Qamaruddin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Dana Marie Macaluso, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Samuel Ortega, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Andrew Reichard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 |