| Paula M Dobrowolska, CRNA | |
|
2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 | |
| (815) 877-4848 | |
| (815) 654-5342 |
| Full Name | Paula M Dobrowolska |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 2202 Harlem Rd, Loves 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 |
|---|---|---|---|
| 1417353319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28239684A (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209-012071 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Perry County Memorial Hospital | Tell city, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Central Ohio Anesthesia Llc | 3678604493 | 10 |
| Utah Anesthesia, Llc | 4486993862 | 13 |
| Utah Gastroenterology Llc | 9830174150 | 50 |
| Southeast Iowa Regional Medical Center Inc | 3870496417 | 189 |
| Entity Name | South Central Ohio Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700100419 PECOS PAC ID: 3678604493 Enrollment ID: O20160321000459 |
| Mailing Address | Practice Location Address |
|---|---|
| Paula M Dobrowolska, CRNA 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 Ph: (815) 877-4848 | Paula M Dobrowolska, CRNA 2202 Harlem Rd, Suite 200, Loves Park, IL 61111-2754 Ph: (815) 877-4848 |
Kathleen M. Schroeder, C.R.N.A. Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2202 Harlem Rd, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 | |
Mr. Lowell S. Wills, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2202 Harlem Road, Suite 200, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-636-6125 | |
Ronald J. Frenk, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2202 Harlem Rd, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 | |
Malynnda A. Mueller, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Rd, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 | |
Scott A Waggoner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Rd, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-636-6125 | |
Justin Erik Utley, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2202 Harlem Rd, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-636-6125 |