| Daniel Laverty, | |
|
600 S Paulina St, Chicago, IL 60612-3806 | |
| (312) 942-7100 | |
| Not Available |
| Full Name | Daniel Laverty |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 600 S Paulina St, Chicago, 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 |
|---|---|---|---|
| 1154002202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28290977A (Indiana) | Secondary |
| 163W00000X | Registered Nurse | 041455072 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Crown Point | Crown point, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Indiana Llc | 1153576905 | 130 |
| Entity Name | Northstar Anesthesia of Indiana LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043561541 PECOS PAC ID: 1153576905 Enrollment ID: O20130227000297 |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel Laverty, 909 N Leavitt St Apt 3f, Chicago, IL 60622-7114 Ph: (815) 274-7774 | Daniel Laverty, 600 S Paulina St, Chicago, IL 60612-3806 Ph: (312) 942-7100 |
Ms. Nedra Goldman, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2620 E 92nd St, Chicago, IL 60617 Phone: 773-984-1384 |
Phyllis Sasu, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 525 E 46th Pl, Chicago, IL 60653 Phone: 773-507-8609 Fax: 773-507-8609 |
Lakesha Ealom, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2825 S Halsted St, Suite 311, Chicago, IL 60608 Phone: 708-394-3120 |
Quatanya Seals, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9931 S Crandon Ave, Chicago, IL 60617 Phone: 773-892-5566 |
Shaquan Dupart, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2320 E 93rd St, Chicago, IL 60617 Phone: 312-659-0990 Fax: 312-659-0990 |
Alexandria Gorman Mcqueen, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-926-2000 |
Hyein Hyein Lee, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 675 N Saint Clair St Ste 21-100, Chicago, IL 60611 Phone: 312-695-0990 Fax: 312-695-4300 |