| Kisha Young, CRNA | |
|
901 Macarthur Blvd, Munster, IN 46321-2901 | |
| (219) 836-1600 | |
| Not Available |
| Full Name | Kisha Young |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 901 Macarthur Blvd, Munster, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841249000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209002097 (Illinois) | Primary |
| Entity Name | Windy City Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932248622 PECOS PAC ID: 9234033572 Enrollment ID: O20031120000022 |
| Entity Name | Primary Healthcare Associates Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467442293 PECOS PAC ID: 4688635337 Enrollment ID: O20041026000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Kisha Young, CRNA Po Box 570, Lake Forest, IL 60045-0570 Ph: (847) 615-2200 | Kisha Young, CRNA 901 Macarthur Blvd, Munster, IN 46321-2901 Ph: (219) 836-1600 |
Richard Henry Ladaga, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 Macarthur Blvd, Attn Anesthesia, Munster, IN 46321 Phone: 219-836-7040 Fax: 219-513-1127 | |
Marina Saldaris, C.R.N.A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1508 Twelve Oaks Dr, Munster, IN 46321 Phone: 219-465-8140 | |
Mary Harlow, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 Macarthur Boulevard, Anesthisia Department, Munster, IN 46321 Phone: 219-836-7040 Fax: 219-513-1127 | |
Jamie Bridgwater, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 233 Beacon Pl Apt 2, Munster, IN 46321 Phone: 708-539-6234 | |
Jo Ann Marie Pupaloski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 Macarthur Blvd, Attn Anesthesia, Munster, IN 46321 Phone: 219-836-7040 Fax: 219-513-1127 | |
Michelle Piatek, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 Macarthur Blvd, Munster, IN 46321 Phone: 219-836-1600 | |
Nicole Marie Petrungaro, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 901 Macarthur Blvd, Munster, IN 46321 Phone: 219-836-1600 |