| Petula Sharma, | |
|
530 N Cass Ave, Westmont, IL 60559-1503 | |
| (630) 968-1800 | |
| Not Available |
| Full Name | Petula Sharma |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 530 N Cass Ave, Westmont, 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 |
|---|---|---|---|
| 1528306008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209.010135 (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 | 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 |
|---|---|
| Petula Sharma, 709 Brougham Ln, Oak Brook, IL 60523-2676 Ph: () - | Petula Sharma, 530 N Cass Ave, Westmont, IL 60559-1503 Ph: (630) 968-1800 |
Gregory Souza, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 Pasquinelli Dr, Westmont, IL 60559 Phone: 630-990-9729 | |
Connor Prokop, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 N Cass Ave, Westmont, IL 60559 Phone: 630-968-1800 | |
Hailey Theeck, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 530 N Cass Ave, Westmont, IL 60559 Phone: 630-968-1800 |