| Phares Mondo, CRNA | |
|
3701 Doty Rd, Woodstock, IL 60098-7509 | |
| (815) 343-3170 | |
| (630) 874-2642 |
| Full Name | Phares Mondo |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 3701 Doty Rd, Woodstock, 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 |
|---|---|---|---|
| 1720408834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209011387 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oak Brook Anesthesiologists Ltd | 3870554298 | 16 |
| Town Square Anesthesia Llc | 9335047455 | 20 |
| 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 | 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 | Oak Brook Anesthesiologists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881705937 PECOS PAC ID: 3870554298 Enrollment ID: O20041020000126 |
| Entity Name | Quantum Anesthesia Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033546833 PECOS PAC ID: 7618100751 Enrollment ID: O20140425001247 |
| 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 |
|---|---|
| Phares Mondo, CRNA 520 E 22nd St, Lombard, IL 60148-6110 Ph: (630) 960-9222 | Phares Mondo, CRNA 3701 Doty Rd, Woodstock, IL 60098-7509 Ph: (815) 343-3170 |
Mr. Adeniyi C Ademoyo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3701 Doty Road, Woodstock, IL 60098 Phone: 630-874-2542 Fax: 630-874-2642 | |
Marsha K Kehres, C.R.N.A Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3701 Doty Rd, Woodstock, IL 60098 Phone: 815-338-2500 | |
Scott S Felt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3701 Doty Rd, Attn: Anesthesia, Woodstock, IL 60098 Phone: 815-334-3170 | |
Mrs. Janyce B Dorr, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3701 Doty Rd, Woodstock, IL 60098 Phone: 815-334-3170 |