| Louise E Komorek, CRNA | |
|
2100 Madison Ave, Granite City, IL 62040-4701 | |
| (660) 826-5960 | |
| Not Available |
| Full Name | Louise E Komorek |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2100 Madison Ave, Granite City, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366577835 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209006533 (Illinois) | Primary |
| Entity Name | Mount Sinai Community Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376715896 PECOS PAC ID: 5991600405 Enrollment ID: O20040202001032 |
| Entity Name | Gottlieb Community Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013415603 PECOS PAC ID: 3375442999 Enrollment ID: O20180420000980 |
| Entity Name | Loyola Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376041954 PECOS PAC ID: 6305109547 Enrollment ID: O20180420002063 |
| Entity Name | Encore Anesthesia Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558987883 PECOS PAC ID: 3476979683 Enrollment ID: O20200819000850 |
| Mailing Address | Practice Location Address |
|---|---|
| Louise E Komorek, CRNA Po Box 1547, Sedalia, MO 65302-1547 Ph: () - | Louise E Komorek, CRNA 2100 Madison Ave, Granite City, IL 62040-4701 Ph: (660) 826-5960 |
Kathryn K Sarabia, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 660-826-5960 | |
Mary Bigongiari, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 660-826-5960 Fax: 660-826-4852 | |
David A. Giammaria, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 660-826-5960 | |
Kristopher Michael Klint, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-798-3000 | |
Rick Corbett, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 618-343-0048 Fax: 618-343-0048 | |
Timothy O'connor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2100 Madison Ave, Granite City, IL 62040 Phone: 660-826-5960 Fax: 660-826-4852 |