| Yelena Polyakov, CRNA | |
|
2650 Ridge Ave, Anesthesiology, Rm 3905, Evanston, IL 60201-1718 | |
| (847) 570-2760 | |
| (847) 570-2921 |
| Full Name | Yelena Polyakov |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 2650 Ridge Ave, Evanston, 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 |
|---|---|---|---|
| 1659415107 | NPI | - | NPPES |
| 209-005841 | Other | IL | IL STATE LIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209-005841 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loyola University Medical Center | Maywood, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Loyola University Medical Center | 3779488903 | 926 |
| Gottlieb Midwest Anesthesiologists, Llc | 8123929940 | 43 |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| 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 | 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 |
|---|---|
| Yelena Polyakov, CRNA 2650 Ridge Ave, Evanston Hospital, Evanston, IL 60201-1718 Ph: (847) 570-1206 | Yelena Polyakov, CRNA 2650 Ridge Ave, Anesthesiology, Rm 3905, Evanston, IL 60201-1718 Ph: (847) 570-2760 |
Jettero Fushi, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2760 | |
Gloria Eunjin Park, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Department Of Anesthesia, Evanston, IL 60201 Phone: 847-570-2760 Fax: 847-570-2921 | |
Nicole Basile, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-570-2000 | |
Cristi L. Franklin, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Anesthesiology Room 3905, Evanston, IL 60201 Phone: 847-570-2760 Fax: 847-570-2921 | |
Karen Hamlett-kleinhenz, APN-CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Ave, Anesthesiology Room 3905, Evanston, IL 60201 Phone: 847-570-2921 Fax: 847-570-2921 | |
Matthew Joseph Sadlowsky, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave., Department Of Anesthesia, Evanston, IL 60201 Phone: 847-570-2760 Fax: 847-570-2921 | |
Shelby Matillano, APN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2650 Ridge Ave, Evanston, IL 60201 Phone: 847-982-3172 |