| Ms Tamara L Petre, | |
|
155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | |
| (331) 221-1000 | |
| Not Available |
| Full Name | Ms Tamara L Petre |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 155 E Brush Hill Rd, Elmhurst, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083869523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209007399 (Illinois) | Secondary |
| 163W00000X | Registered Nurse | 041315978 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist La Grange Memorial Hospital | La grange, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gottlieb Midwest Anesthesiologists, Llc | 8123929940 | 43 |
| 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 | Elmhurst Anesthesiologists, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376586610 PECOS PAC ID: 7719879360 Enrollment ID: O20040327000253 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tamara L Petre, 1121 Lake Cook Rd, Suite M, Deerfield, IL 60015-5650 Ph: (847) 945-4550 | Ms Tamara L Petre, 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 Ph: (331) 221-1000 |
Laura Marie Elder, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 151 S Fairview Ave, Elmhurst, IL 60126 Phone: 303-478-0121 | |
Michelle Meegan, REGISTERED NURSE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1150 S Euclid Ave, Elmhurst, IL 60126 Phone: 708-990-2640 | |
Mrs. Lauren Lebeau, IBCLC, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 421 E Atwater Ave, Elmhurst, IL 60126 Phone: 630-347-0004 | |
Ahmad Mohammad Ahmad, APN - CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 331-221-3521 Fax: 331-221-3827 | |
Viviana Rice, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 155 E Brush Hill Rd, Elmhurst, IL 60126 Phone: 847-951-5518 | |
Marion S Kolar, MSN, RN, FNP-BC Registered Nurse Medicare: Medicare Enrolled Practice Location: 110 W North Ave, Elmhurst, IL 60126 Phone: 630-617-2830 | |
Krista Kirk, APN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 1200 S York St Ste 2000, Elmhurst, IL 60126 Phone: 331-221-9003 |