| Nicole D'amico, | |
|
10661 W La Porte Rd, Mokena, IL 60448-9475 | |
| (708) 925-3100 | |
| Not Available |
| Full Name | Nicole D'amico |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 10661 W La Porte Rd, Mokena, 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 |
|---|---|---|---|
| 1669057675 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Community Hospital | Munster, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nwi Medical Associates , Llc | 4183087257 | 57 |
| Entity Name | St Catherine Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396847596 PECOS PAC ID: 1052225604 Enrollment ID: O20031118000149 |
| Entity Name | Munster Medical Research Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982653044 PECOS PAC ID: 8123913183 Enrollment ID: O20040623000905 |
| Entity Name | Nwi Medical Associates , Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760182554 PECOS PAC ID: 4183087257 Enrollment ID: O20230823001893 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole D'amico, 10661 W La Porte Rd, Mokena, IL 60448-9475 Ph: (708) 925-3100 | Nicole D'amico, 10661 W La Porte Rd, Mokena, IL 60448-9475 Ph: (708) 925-3100 |
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 |