| Soula Karnezis, CRNA | |
|
5101 Willow Springs Rd, La Grange, IL 60525-2600 | |
| (708) 352-1200 | |
| Not Available |
| Full Name | Soula Karnezis |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 24 Years |
| Location | 5101 Willow Springs Rd, La Grange, 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 |
|---|---|---|---|
| 1023044955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 041302186 (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 | Primary Healthcare Associates Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467442293 PECOS PAC ID: 4688635337 Enrollment ID: O20041026000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Soula Karnezis, CRNA 255 W Michigan Ave, Jackson, MI 49201-2218 Ph: (517) 787-6440 | Soula Karnezis, CRNA 5101 Willow Springs Rd, La Grange, IL 60525-2600 Ph: (708) 352-1200 |
Ms. Jennifer M Antone, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5101 Willow Springs Rd, La Grange, IL 60525 Phone: 708-245-6600 Fax: 708-245-5608 | |
Shirley A Mondragon, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 5101 Willow Springs Rd, La Grange, IL 60525 Phone: 708-352-1200 |