| Charles Blades Ii, CRNA | |
|
800 W. Central Rd. Department Of Anesthesia, Arlington Heights, IL 60005-2349 | |
| (847) 618-7140 | |
| Not Available |
| Full Name | Charles Blades Ii |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 800 W. Central Rd. Department Of Anesthesia, Arlington Heights, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134194228 | NPI | - | NPPES |
| 4870428 | Medicaid | MI | |
| 4521060 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 4704215663 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209032186 (Illinois) | Primary |
| Entity Name | Kalamazoo Anesthesiology P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407821796 PECOS PAC ID: 3375449473 Enrollment ID: O20031210000078 |
| Entity Name | Edward W Sparrow Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366498107 PECOS PAC ID: 6709799166 Enrollment ID: O20040311001138 |
| Entity Name | Lakeland Hospitals At Niles And St Joseph Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134220031 PECOS PAC ID: 7517929037 Enrollment ID: O20041027001172 |
| Entity Name | Anesthesiology Of Marquette, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225039639 PECOS PAC ID: 6103851712 Enrollment ID: O20051003000636 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Blades Ii, CRNA 900 Peeler St, Kalamazoo, MI 49008-2380 Ph: (269) 345-8618 | Charles Blades Ii, CRNA 800 W. Central Rd. Department Of Anesthesia, Arlington Heights, IL 60005-2349 Ph: (847) 618-7140 |
Elisa Lindholm Hillman, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 W Central Rd, Arlington Heights, IL 60005 Phone: 847-570-2760 | |
Ms. Diana M Glab, APN-CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 W Central Rd, Arlington Heights, IL 60005 Phone: 478-618-7140 | |
Ruta M. Shabez, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 W Central Rd, Arlington Heights, IL 60005 Phone: 847-570-2760 | |
Maria Palu, APN- CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 800 W Central Rd, Arlington Heights, IL 60005 Phone: 847-570-2760 | |
Daniel Mejia Nolasco, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 W Central Rd, Arlington Heights, IL 60005 Phone: 847-570-2760 | |
Megan L Bryant, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 W Central Rd Dept Of, Arlington Heights, IL 60005 Phone: 847-618-7140 Fax: 847-618-0228 |