| Mr Paul Kowalczyk, CRNA | |
|
1423 Chicago Rd, Chicago Heights, IL 60411-3400 | |
| (708) 756-1000 | |
| Not Available |
| Full Name | Mr Paul Kowalczyk |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 28 Years |
| Location | 1423 Chicago Rd, Chicago Heights, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730101114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Bolingbrook Hospital | Bolingbrook, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Illinois, Llc | 4688893878 | 409 |
| 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 | Anesthesia Associates, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952308223 PECOS PAC ID: 2961303425 Enrollment ID: O20040224000185 |
| Entity Name | Valley Pain Care Centers, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194722058 PECOS PAC ID: 7517858632 Enrollment ID: O20040320000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Paul Kowalczyk, CRNA 2119 Wicklow Rd, Naperville, IL 60564-3196 Ph: (630) 904-5012 | Mr Paul Kowalczyk, CRNA 1423 Chicago Rd, Chicago Heights, IL 60411-3400 Ph: (708) 756-1000 |
Miss Karen Brown, APN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1423 Chicago Rd, Chicago Heights, IL 60411 Phone: 708-756-1000 | |
Leticia Perea, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1423 Chicago Rd, Chicago Heights, IL 60411 Phone: 708-756-1000 | |
Michael Toth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1423 Chicago Rd, Chicago Heights, IL 60411 Phone: 708-756-1000 |