| Michela M Kwak, | |
|
333 Madison St, Joliet, IL 60435-8200 | |
| (815) 725-7133 | |
| Not Available |
| Full Name | Michela M Kwak |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 333 Madison St, Joliet, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083345359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041.430535 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209.026086 (Illinois) | Primary |
| Entity Name | American Anesthesiology Associates Of Illinois, S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962512335 PECOS PAC ID: 3971498924 Enrollment ID: O20040218000526 |
| 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 | North American Partners In Anesthesia Illinois Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699032524 PECOS PAC ID: 1052576519 Enrollment ID: O20120706000534 |
| Entity Name | Northstar Anesthesia Of Illinois, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Michela M Kwak, 25w230 Mayflower Ave, Naperville, IL 60540-3516 Ph: (858) 699-2589 | Michela M Kwak, 333 Madison St, Joliet, IL 60435-8200 Ph: (815) 725-7133 |
Ms. Jacquelyn A. Flynn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 Maple Rd, Joliet, IL 60432 Phone: 815-740-1100 | |
Ms. Eunice W Mudryj, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1200 Maple Rd, Joliet, IL 60432 Phone: 815-740-1100 | |
Mr. Douglas E. Steger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 Maple Rd, Joliet, IL 60432 Phone: 815-740-1100 | |
Jeffrey J. Ryan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1200 Maple Rd, Joliet, IL 60432 Phone: 815-740-1100 | |
Cara A Murphy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 333 Madison St, Joliet, IL 60435 Phone: 815-725-7133 | |
Miss Kathy L Reyes, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 333 North Madison Street, Joliet, IL 60435 Phone: 708-747-4000 Fax: 708-503-3806 | |
Mr. Joseph P. Wubben, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 Maple Rd, Joliet, IL 60432 Phone: 815-740-1100 |