| Melissa Whitman, CRNA | |
|
19627 S La Grange Rd, Mokena, IL 60448-9360 | |
| (708) 326-1632 | |
| (708) 326-1672 |
| Full Name | Melissa Whitman |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 35 Years |
| Location | 19627 S La Grange Rd, Mokena, Illinois |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831242197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041-229441 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209-001967 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Copley Memorial Hospital | Aurora, IL | Hospital |
| Saint Francis Medical Center | Peoria, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stat Anesthesia Specialists Ltd | 8123031473 | 15 |
| Northstar Anesthesia Of Illinois, Llc | 4688893878 | 318 |
| Associated Anesthesiologists Sc | 6305744129 | 119 |
| Clinical Colleagues Inc | 8729011333 | 148 |
| Windy City Anesthesia Pc | 9234033572 | 33 |
| Ias Illinois Pc | 9638530991 | 61 |
| Ias Illinois Pc | 9638530991 | 61 |
| Entity Name | Stat Anesthesia Specialists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699724781 PECOS PAC ID: 8123031473 Enrollment ID: O20070529000372 |
| Entity Name | Centers For Pain Control, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790920452 PECOS PAC ID: 7416019450 Enrollment ID: O20081229000343 |
| Entity Name | United Surgeons Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518197011 PECOS PAC ID: 0941260061 Enrollment ID: O20110330000083 |
| Entity Name | Jebs Anesthesia Consultants, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790447761 PECOS PAC ID: 4486046646 Enrollment ID: O20220120000233 |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Whitman, CRNA 19627 S La Grange Rd, Mokena, IL 60448-9360 Ph: (708) 326-1632 | Melissa Whitman, CRNA 19627 S La Grange Rd, Mokena, IL 60448-9360 Ph: (708) 326-1632 |
Mrs. Jana Kliestik, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 19455 Newport Dr, Mokena, IL 60448 Phone: 708-326-3892 | |
Phyllis Wubben, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 19627 La Grange Rd, Attention: Southwest Anesthesia Consultants, Mokena, IL 60448 Phone: 708-326-1630 Fax: 708-326-1671 | |
Rosemary Zangas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 19627 La Grange Rd, Mokena, IL 60448 Phone: 708-326-1637 Fax: 708-326-1671 |