| Angela Agnich, CRNA | |
|
1210 Crown Fox Ln, New Lenox, IL 60451-1205 | |
| (815) 320-3086 | |
| (815) 464-1767 |
| Full Name | Angela Agnich |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 1210 Crown Fox Ln, New Lenox, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639181647 | NPI | - | NPPES |
| 9932061 | Other | IL | BLUE CROSS BLUE SHIELD |
| 430075462 | Other | IL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 209-000589 (Illinois) | Primary |
| Entity Name | Carlinville Area Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932275641 PECOS PAC ID: 9032021373 Enrollment ID: O20031104000520 |
| Entity Name | Anesthesia Advocates, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790797710 PECOS PAC ID: 3476529249 Enrollment ID: O20040903000164 |
| Entity Name | Elite Anesthesia Providers Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679258388 PECOS PAC ID: 6709249006 Enrollment ID: O20230905001966 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela Agnich, CRNA Po Box 367, Frankfort, IL 60423-0367 Ph: (815) 320-3086 | Angela Agnich, CRNA 1210 Crown Fox Ln, New Lenox, IL 60451-1205 Ph: (815) 320-3086 |
Alex Jacob Stone, DO Anesthesiology Medicare: Medicare Enrolled Practice Location: 1900 Silver Cross Blvd, New Lenox, IL 60451 Phone: 815-300-7910 Fax: 815-300-4842 | |
Dr. Shingo Yano, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1890 Silver Cross Blvd Ste 500, New Lenox, IL 60451 Phone: 708-482-4500 Fax: 815-416-1220 | |
Mihael David Rosenbaum, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1900 Silver Cross Blvd, New Lenox, IL 60451 Phone: 815-300-1100 | |
Michael Agnich, CRNA Anesthesiology Medicare: Medicare Enrolled Practice Location: 1210 Crown Fox Ln, New Lenox, IL 60451 Phone: 815-320-3086 Fax: 815-464-1767 |