| Mr Daniel David King, CRNA | |
|
1775 Dempster St, Park Ridge, IL 60068-1143 | |
| (847) 723-2210 | |
| Not Available |
| Full Name | Mr Daniel David King |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 4 Years |
| Location | 1775 Dempster St, Park Ridge, 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 |
|---|---|---|---|
| 1235584053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN2300046 (Massachusetts) | Secondary |
| 364S00000X | Clinical Nurse Specialist | 209-023540 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Swedish Covenant Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Swedish Covenant Management Services Inc | 4486556016 | 111 |
| 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 | Swedish Covenant Management Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760432348 PECOS PAC ID: 4486556016 Enrollment ID: O20040123000850 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Daniel David King, CRNA 907 Sumner St, M201, Stoughton, MA 02072-3374 Ph: () - | Mr Daniel David King, CRNA 1775 Dempster St, Park Ridge, IL 60068-1143 Ph: (847) 723-2210 |
Deborah Jean Kantoris, APN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster Street, Park Ridge, IL 60068 Phone: 847-723-8308 | |
Ms. Susan Kaye O'mara, APN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-7939 Fax: 847-723-2272 | |
Mrs. Regina Lashell Ward, CNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-7748 | |
Marie Hagman, APN, CNS Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 1875 Dempster St Ste 525, Park Ridge, IL 60068 Phone: 847-698-3600 | |
Megan Hughes, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1775 W Dempster St, Park Ridge, IL 60068 Phone: 847-723-5978 | |
Mrs. Kathleen A Kobler, APN, PCNS-BC, CHPPN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster St, E274, Park Ridge, IL 60068 Phone: 847-723-7911 | |
Kimberly Vander Ploeg, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster St, Picu, Park Ridge, IL 60068 Phone: 847-723-8316 Fax: 847-723-1501 |