| Kelly C Lannert, APN-CRNA | |
|
2650 Ridge Ave, Evanston, IL 60201-1700 | |
| (847) 570-2760 | |
| Not Available |
| Full Name | Kelly C Lannert |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 2650 Ridge Ave, Evanston, 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 |
|---|---|---|---|
| 1649789082 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 041.390796 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209.016942 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist La Grange Memorial Hospital | La grange, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Anesthesiologists Sc | 4183512080 | 145 |
| Arete Anesthesia Llc | 6709161961 | 12 |
| Gottlieb Midwest Anesthesiologists, Llc | 8123929940 | 43 |
| Ias Illinois Pc | 9638530991 | 61 |
| Entity Name | Midwest Anesthesiologists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447209390 PECOS PAC ID: 0547165524 Enrollment ID: O20031203000392 |
| Entity Name | Gottlieb Midwest Anesthesiologists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003832767 PECOS PAC ID: 8123929940 Enrollment ID: O20040115000619 |
| 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 | University Anesthesiologists Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073558136 PECOS PAC ID: 4183512080 Enrollment ID: O20040415000513 |
| 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 |
| Entity Name | Valley Ambulatory Surgery Center Anesthesiology Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629082326 PECOS PAC ID: 0345225116 Enrollment ID: O20040624000312 |
| Entity Name | Arete Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801336870 PECOS PAC ID: 6709161961 Enrollment ID: O20170330001669 |
| Entity Name | Ias Illinois Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265118723 PECOS PAC ID: 9638530991 Enrollment ID: O20230802002876 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly C Lannert, APN-CRNA 2650 Ridge Ave, Evanston, IL 60201-1700 Ph: (847) 570-2760 | Kelly C Lannert, APN-CRNA 2650 Ridge Ave, Evanston, IL 60201-1700 Ph: (847) 570-2760 |
Jettero Fushi, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2760 | |
Gloria Eunjin Park, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Department Of Anesthesia, Evanston, IL 60201 Phone: 847-570-2760 Fax: 847-570-2921 | |
Nicole Basile, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2000 | |
Cristi L. Franklin, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Anesthesiology Room 3905, Evanston, IL 60201 Phone: 847-570-2760 Fax: 847-570-2921 | |
Karen Hamlett-kleinhenz, APN-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Anesthesiology Room 3905, Evanston, IL 60201 Phone: 847-570-2921 Fax: 847-570-2921 | |
Matthew Joseph Sadlowsky, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Department Of Anesthesia, Evanston, IL 60201 Phone: 847-570-2760 Fax: 847-570-2921 | |
Shelby Matillano, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-982-3172 |