| Ahmad Mohammad Ahmad, APN - CRNA | |
|
155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | |
| (331) 221-3521 | |
| (331) 221-3827 |
| Full Name | Ahmad Mohammad Ahmad |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 155 E Brush Hill Rd, Elmhurst, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144949678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041.461634 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209030310 (Illinois) | Primary |
| Entity Name | Northstar Anesthesia Of Illinois, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmad Mohammad Ahmad, APN - CRNA 7010 W 115th Pl, Worth, IL 60482-2351 Ph: (708) 890-2829 | Ahmad Mohammad Ahmad, APN - CRNA 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 Ph: (331) 221-3521 |
Joellyn Haske, C.R.N.A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 331-221-1000 | |
Ms. Tamara L Petre, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 331-221-1000 | |
Margaret M, Biancofiori, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 155 E. Brush Hill Rd., Department Of Anesthesia, Elmhurst, IL 60126 Phone: 331-221-3521 | |
Mrs. Jacqueline Ann Bautista, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 200 N Berteau Ave, Elmhurst, IL 60126 Phone: 630-833-1400 Fax: 630-941-4597 | |
Holly L. Leischner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 331-221-1000 | |
Hariklia K Horwath, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 331-221-1000 | |
Lara Pappas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 331-221-1000 |