| Blake Mcnamara, | |
|
1900 Silver Cross Blvd, New Lenox, IL 60451-9509 | |
| (815) 300-1100 | |
| Not Available |
| Full Name | Blake Mcnamara |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1900 Silver Cross Blvd, 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 |
|---|---|---|---|
| 1851153449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209029231 (Illinois) | Primary |
| Entity Name | Allied Anesthesia Associates P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750330742 PECOS PAC ID: 0042118069 Enrollment ID: O20040203000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Blake Mcnamara, 14714 Aster Ln, Homer Glen, IL 60491-6968 Ph: () - | Blake Mcnamara, 1900 Silver Cross Blvd, New Lenox, IL 60451-9509 Ph: (815) 300-1100 |
Ms. Dawn Simms, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Silver Cross Blvd, New Lenox, IL 60451 Phone: 815-300-1100 | |
Renie Arielle Teague, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1900 Silver Cross Blvd, New Lenox, IL 60451 Phone: 815-300-7097 Fax: 815-300-3567 | |
Dr. Kristina Lendabarker, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1900 Silver Cross Blvd, New Lenox, IL 60451 Phone: 815-300-7236 |