| Valeria Mourzaeva, CRNA | |
|
801 S Milwaukee Ave, Libertyville, IL 60048-3204 | |
| (847) 362-2900 | |
| Not Available |
| Full Name | Valeria Mourzaeva |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 13 Years |
| Location | 801 S Milwaukee Ave, Libertyville, 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 |
|---|---|---|---|
| 1215361894 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 041330584 (Illinois) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 209010619 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Condell Medical Center | Libertyville, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Illinois, Llc | 4688893878 | 318 |
| Advocate Health And Hospitals Corporation | 7810800935 | 2682 |
| Entity Name | Advocate Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
| 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 |
| Entity Name | Northstar Anesthesia Of Illinois, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405 |
| 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 |
|---|---|
| Valeria Mourzaeva, CRNA 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Valeria Mourzaeva, CRNA 801 S Milwaukee Ave, Libertyville, IL 60048-3204 Ph: (847) 362-2900 |
Allison L Peterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048 Phone: 847-362-2900 | |
Kimberly White, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2108 Kenton Ln, Libertyville, IL 60048 Phone: 234-234-8677 | |
Darrel A Storbeck, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048 Phone: 847-362-2900 | |
Mary Grace Kashmar, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048 Phone: 847-362-2900 | |
Wilfred E Soppe, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048 Phone: 847-362-2900 | |
Brian E Dagel, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048 Phone: 847-362-2900 | |
Abby Nowakowski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048 Phone: 847-742-9800 |