| Joshua Mitchell, | |
|
2160 S 1st Ave, Maywood, IL 60153-3328 | |
| (708) 216-3619 | |
| Not Available |
| Full Name | Joshua Mitchell |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 8 Years |
| Location | 2160 S 1st Ave, Maywood, 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 |
|---|---|---|---|
| 1063939361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 041455102 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209016548 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Lutheran General Hospital | Park ridge, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Loyola University Medical Center | 3779488903 | 926 |
| Advocate Health And Hospitals Corporation | 7810800935 | 2682 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Entity Name | Midwest Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255380184 PECOS PAC ID: 6204737596 Enrollment ID: O20040120000034 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Mitchell, 355 E Ohio St Unit 603, Chicago, IL 60611-3464 Ph: () - | Joshua Mitchell, 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-3619 |
Joseph Marinaro, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-8785 | |
Mark Byram, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Laura Hartman, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 847-347-9847 | |
Joy Malenie Chaksupa, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-5856 | |
Sara A Park, APRN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-9000 | |
Luis Enrique Negron, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 888-584-7888 |