| Justin Erik Utley, | |
|
2202 Harlem Rd, Loves Park, IL 61111-2754 | |
| (815) 877-4848 | |
| (815) 636-6125 |
| Full Name | Justin Erik Utley |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 3 Years |
| Location | 2202 Harlem Rd, Loves Park, 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 |
|---|---|---|---|
| 1336830918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209028630 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Upland Hills Health | Dodgeville, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Upland Hills Health Inc | 3072415553 | 63 |
| Entity Name | Upland Hills Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821258740 PECOS PAC ID: 3072415553 Enrollment ID: O20081016000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Erik Utley, 2202 Harlem Rd, Loves Park, IL 61111-2754 Ph: (815) 877-4848 | Justin Erik Utley, 2202 Harlem Rd, Loves Park, IL 61111-2754 Ph: (815) 877-4848 |
Kathleen M. Schroeder, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2202 Harlem Rd, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 | |
Mr. Lowell S. Wills, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2202 Harlem Road, Suite 200, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-636-6125 | |
Ronald J. Frenk, C.R.N.A. Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2202 Harlem Rd, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 | |
Malynnda A. Mueller, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Rd, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 | |
Paula M. Dobrowolska, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Rd, Suite 200, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 | |
Joni D. Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2202 Harlem Road, Loves Park, IL 61111 Phone: 815-877-4848 Fax: 815-654-5342 |