| David Cho, | |
|
3333 Green Bay Rd, North Chicago, IL 60064-3037 | |
| (847) 578-3000 | |
| Not Available |
| Full Name | David Cho |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3333 Green Bay Rd, North Chicago, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902578792 | NPI | - | NPPES |
| 163W00000X | Other | IL | ILLINOIS BOARD OF NURSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 1902578792 (Illinois) | Primary |
| 163W00000X | Registered Nurse | 041.456123 (Illinois) | Secondary |
| 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 |
|---|---|
| David Cho, 3333 Green Bay Rd, North Chicago, IL 60064-3037 Ph: () - | David Cho, 3333 Green Bay Rd, North Chicago, IL 60064-3037 Ph: (847) 578-3000 |
Michael John Kremer, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3001 Green Bay Rd, North Chicago, IL 60064 Phone: 847-688-1900 | |
Mr. Shane Eugene Lawson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3001 Greenbay Road, North Chicago, IL 60064 Phone: 224-610-4846 | |
Abduljabar Calfos, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3333 Green Bay Rd, North Chicago, IL 60064 Phone: 206-356-9044 | |
Maryna Deere Gaston, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3333 Green Bay Rd, North Chicago, IL 60064 Phone: 772-214-9295 | |
Leah Ashley Huss, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3333 Green Bay Rd, North Chicago, IL 60064 Phone: 309-642-4842 | |
Sarah Anderson, RN Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3333 Green Bay Rd, North Chicago, IL 60064 Phone: 815-685-4856 |