| Tom Aaron Ingram, | |
|
1653 W Congress Pkwy # 12, Chicago, IL 60612-3833 | |
| (706) 580-0650 | |
| Not Available |
| Full Name | Tom Aaron Ingram |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 2 Years |
| Location | 1653 W Congress Pkwy # 12, Chicago, 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 |
|---|---|---|---|
| 1881375657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209030865 (Illinois) | Secondary |
| 163WC0200X | Registered Nurse - Critical Care Medicine | 1-174846 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Blessing Hospital | Quincy, IL | Hospital |
| Mc Donough District Hospital | Macomb, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blessing Hospital | 3072422534 | 414 |
| Entity Name | Blessing Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255515342 PECOS PAC ID: 3072422534 Enrollment ID: O20040330001155 |
| Mailing Address | Practice Location Address |
|---|---|
| Tom Aaron Ingram, 221 W Hubbard St Unit 1708, Chicago, IL 60654-4920 Ph: (706) 580-0650 | Tom Aaron Ingram, 1653 W Congress Pkwy # 12, Chicago, IL 60612-3833 Ph: (706) 580-0650 |
Ms. Nedra Goldman, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2620 E 92nd St, Chicago, IL 60617 Phone: 773-984-1384 |
Phyllis Sasu, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 525 E 46th Pl, Chicago, IL 60653 Phone: 773-507-8609 Fax: 773-507-8609 |
Lakesha Ealom, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2825 S Halsted St, Suite 311, Chicago, IL 60608 Phone: 708-394-3120 |
Quatanya Seals, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 9931 S Crandon Ave, Chicago, IL 60617 Phone: 773-892-5566 |
Shaquan Dupart, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2320 E 93rd St, Chicago, IL 60617 Phone: 312-659-0990 Fax: 312-659-0990 |
Alexandria Gorman Mcqueen, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-926-2000 |
Hyein Hyein Lee, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 675 N Saint Clair St Ste 21-100, Chicago, IL 60611 Phone: 312-695-0990 Fax: 312-695-4300 |