| Charles V Lozada, CRNA | |
|
1301 W 22nd St, Suite 610, Oak Brook, IL 60523-2006 | |
| (630) 537-1720 | |
| (773) 326-3518 |
| Full Name | Charles V Lozada |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 11 Years |
| Location | 1301 W 22nd St, Oak Brook, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861864332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209013467 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alexian Brothers Medical Center 1 | Elk grove village, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Illinois, Llc | 4688893878 | 318 |
| 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 |
|---|---|
| Charles V Lozada, CRNA 1034 Midway Rd, Northbrook, IL 60062-3936 Ph: () - | Charles V Lozada, CRNA 1301 W 22nd St, Suite 610, Oak Brook, IL 60523-2006 Ph: (630) 537-1720 |
Ms. Amanda M Decimo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1301 W 22nd St, #610, Oak Brook, IL 60523 Phone: 630-537-1720 | |
Nicholas Gius, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2011 York Road, Oak Brook, IL 60523 Phone: 312-942-5000 | |
Scott Ryan Gutierrez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1301 W 22nd St, Suite 610, Oak Brook, IL 60523 Phone: 630-537-1720 Fax: 630-537-1724 |