| Joy Malenie Chaksupa, CRNA | |
|
2160 S 1st Ave, Maywood, IL 60153-3328 | |
| (708) 216-5856 | |
| Not Available |
| Full Name | Joy Malenie Chaksupa |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 18 Years |
| Location | 2160 S 1st Ave, Maywood, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144417296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 77840 (West Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| North Carolina Specialty Hospital | Durham, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Providence Anesthesiology Associates Pa | 3971566761 | 240 |
| Entity Name | Providence Anesthesiology Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396739884 PECOS PAC ID: 3971566761 Enrollment ID: O20041111000930 |
| Entity Name | Regional Anesthesia, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952486946 PECOS PAC ID: 3779681408 Enrollment ID: O20070604000698 |
| Entity Name | Duke Health Integrated Practice Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205553369 PECOS PAC ID: 8325412737 Enrollment ID: O20230327002247 |
| Mailing Address | Practice Location Address |
|---|---|
| Joy Malenie Chaksupa, CRNA 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: () - | Joy Malenie Chaksupa, CRNA 2160 S 1st Ave, Maywood, IL 60153-3328 Ph: (708) 216-5856 |
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 | |
Joshua Mitchell, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2160 S 1st Ave, Maywood, IL 60153 Phone: 708-216-3619 | |
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 |