| Nicholas K Ventocilla, CRNA | |
|
875 S Route 31, Crystal Lake, IL 60014-8190 | |
| (779) 220-5500 | |
| Not Available |
| Full Name | Nicholas K Ventocilla |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 875 S Route 31, Crystal Lake, 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 |
|---|---|---|---|
| 1164876967 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209014237 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pinnacle Anesthesia Ltd | 1850549841 | 3 |
| Mercy Health System Corporation | 7416860440 | 564 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031111000307 |
| Entity Name | Town Square Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669471017 PECOS PAC ID: 9335047455 Enrollment ID: O20031229000379 |
| Entity Name | Illinois Pain Treatment Institute Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295811479 PECOS PAC ID: 3577464940 Enrollment ID: O20040119000131 |
| Entity Name | Central Dupage Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
| Entity Name | Pinnacle Anesthesia Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205103777 PECOS PAC ID: 1850549841 Enrollment ID: O20120917000584 |
| Entity Name | G & G Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487020111 PECOS PAC ID: 4981912607 Enrollment ID: O20150930000831 |
| Entity Name | Huntley Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205282019 PECOS PAC ID: 0143515825 Enrollment ID: O20160819000149 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas K Ventocilla, CRNA Po Box 836, Crystal Lake, IL 60039-0836 Ph: (847) 615-2200 | Nicholas K Ventocilla, CRNA 875 S Route 31, Crystal Lake, IL 60014-8190 Ph: (779) 220-5500 |
Madeline S. Lubenow, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 875 S Route 31, Crystal Lake, IL 60014 Phone: 779-220-5500 | |
Sheila Atendido, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 875 S Route 31, Crystal Lake, IL 60014 Phone: 779-220-5500 | |
Mandy J Rueff, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 875 S Route 31, Crystal Lake, IL 60014 Phone: 779-220-5500 | |
Dama Theresa Paje, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 875 S. Route 31, Crystal Lake, IL 60014 Phone: 779-220-5500 |