| Vincent E Adduci, CRNA | |
|
2800 W 95th St, Evergreen Park, IL 60805-2701 | |
| (847) 615-2200 | |
| Not Available |
| Full Name | Vincent E Adduci |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 2800 W 95th St, Evergreen Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790915890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209007401 (Illinois) | Primary |
| Entity Name | Lakeshore Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548210560 PECOS PAC ID: 1951322353 Enrollment ID: O20051213000682 |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent E Adduci, CRNA 925 Sherwood Dr, Lake Bluff, IL 60044-2203 Ph: (847) 615-2200 | Vincent E Adduci, CRNA 2800 W 95th St, Evergreen Park, IL 60805-2701 Ph: (847) 615-2200 |
Ms. Karyn L. Benak, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-6200 | |
Mr. Daniel K. Heenan, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2800 W 95th Street, Evergreen Park, IL 60805 Phone: 708-422-6200 | |
David C Wright, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-229-5445 | |
Ms. Monica D. Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 W 95th Street, Evergreen Park, IL 60805 Phone: 708-422-6200 | |
Ms. Dena Vincent, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2800 W 95th St, Evergreen Park, IL 60805 Phone: 708-422-6200 |