| Therese A Bugaj, APN-CRNA | |
|
18221 Torrence Ave, Suite 1-d, Lansing, IL 60438-2870 | |
| (708) 895-9450 | |
| (847) 895-9455 |
| Full Name | Therese A Bugaj |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 18221 Torrence Ave, Lansing, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770580946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041-144120 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209000530 (Illinois) | Primary |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Therese A Bugaj, APN-CRNA 1174 Oak Knoll Dr, Lake Forest, IL 60045-3648 Ph: (847) 234-0045 | Therese A Bugaj, APN-CRNA 18221 Torrence Ave, Suite 1-d, Lansing, IL 60438-2870 Ph: (708) 895-9450 |
Julie A. Flynn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18221 Torrence Ave, Lansing, IL 60438 Phone: 708-895-9450 | |
Mr. Zachary Tyler Smith, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18221 Torrence Ave, Suite 1-b, Lansing, IL 60438 Phone: 708-895-9450 Fax: 708-895-9455 | |
Eileen Boetel, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 18221 Torrence Ave, Lansing, IL 60438 Phone: 708-895-9450 | |
Mrs. Maria-paz Salazar Shariff, RN, CRNA, MS Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18221 Torrence Ave Ste 1b, Lansing, IL 60438 Phone: 708-895-9450 | |
Ms. Levorn Mccain-jones, APN CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 18221 Torrence Ave, Lansing, IL 60438 Phone: 708-895-9450 | |
Ms. Tara M Galambos, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 18221 Torrence Ave Ste 1b, Lansing, IL 60438 Phone: 708-895-9450 | |
Mr. Adam Edward Cole, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 18221 Torrence Ave, Lansing, IL 60438 Phone: 708-895-9450 Fax: 708-895-9455 |