| Jill D Whiteside, CRNA | |
|
3333 N Seminary St, Galesburg, IL 61401-1251 | |
| (309) 344-3161 | |
| (309) 344-9498 |
| Full Name | Jill D Whiteside |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3333 N Seminary St, Galesburg, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093882227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | (Illinois) | Primary |
| Entity Name | Memorial Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730139031 PECOS PAC ID: 0244134682 Enrollment ID: O20031126000246 |
| Entity Name | Mcdonough County Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871704874 PECOS PAC ID: 0446140180 Enrollment ID: O20040317000808 |
| Entity Name | Hammond Henry Dist Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457344491 PECOS PAC ID: 0143115949 Enrollment ID: O20040505000524 |
| Entity Name | Memorial Hospital Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1730139031 PECOS PAC ID: 0244134682 Enrollment ID: O20140626000252 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill D Whiteside, CRNA 3333 N Seminary St, Galesburg, IL 61401-1251 Ph: () - | Jill D Whiteside, CRNA 3333 N Seminary St, Galesburg, IL 61401-1251 Ph: (309) 344-3161 |
Patricia M Wilson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 Fax: 309-344-9498 | |
Ann Weik, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 | |
Timothy F Sullivan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 695 N Kellogg St, Galesburg, IL 61401 Phone: 309-434-8131 | |
Mr. Nicholas Becker, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-3161 Fax: 309-344-9498 | |
Ryan James Bonham, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 695 N Kellogg St, Galesburg, IL 61401 Phone: 309-343-8131 | |
Sterlon A. Matheny, APRN, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3333 N Seminary St, Galesburg, IL 61401 Phone: 309-344-9430 |