Vigilance Anesthesiologists & Pain Specialists PC
Organization Active NPI Certified Registered Nurse Anesthetist · Crown Point, IN
NPI 1013475375 · NPPES record last updated Jun 13, 2019
Key facts
- NPI
- 1013475375
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Legal business name
- VIGILANCE ANESTHESIOLOGISTS & PAIN SPECIALISTS PC
- Practice address
- 5363 Commerce Blvd
Crown Point, IN 46307-5325 - Phone
- (219) 756-0600
- NPI assigned
- Mar 6, 2019
- Organization subpart
- No
Authorized official
- Name
- Peter Pollachek, CRNA
- Title
- Owner
- Phone
- (708) 805-8900
Corporate family (same tax ID) 1
Practitioners 22
-
Daniel Connolly, CRNA
-
Jennifer A Hagen, CRNA
-
John Patrick Kenny IV, M.D.
-
Holli Renee Madewell, CRNA
-
Peter Joseph Pollachek, A.P.N.
-
Srbislav N Brasovan, M.D.
-
Ryan T Hagley, CRNA
-
Jonathan Hudson, CRNA
-
Robert Kelsey, CRNA
-
Stuart L. Rotramel, CRNA
-
Vanessa M Ames, CRNA
-
Eileen Boetel, CRNA
-
Kenshasa Lovie Cotton, SRNA
-
Todd Langellier, CRNA
-
Kenneth J. Strickland, CRNA
-
Nadi Akileh, DNP
-
Adrian Olari, CRNA
-
Louis Dennis Santangelo, D.P.M.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190415000971 | IL | Part B Supplier - Clinic/Group Practice | 4284975541 |
Receives reassigned benefits from 15 practitioners Practice locations: Bourbonnais, IL; Watseka, IL |
| O20190514000737 | IN | Part B Supplier - Clinic/Group Practice | 4284975541 |
Receives reassigned benefits from 7 practitioners Practice locations: Merrillville, IN |
National Provider Directory
- Tax ID family
- Vigilance Anesthesiologists and Pain Specialists PC
Locations
963 N Convent St
Ste 2
Bourbonnais, IL 60914
2200 W Higgins Rd
Ste 230
Hoffman Estates, IL 60169
Phone (262) 215-3959
123 N Waukegan Rd
Ste 300
Lake Bluff, IL 60044
Phone (847) 362-0100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | Yes |
Addresses
Primary practice location
5363 Commerce Blvd
Crown Point, IN 46307-5325
Mailing address
PO Box 70
Lake Forest, IL 60045-0070
Phone (800) 444-6110
Other providers in Crown Point, IN
- Vibra Hospital of Northwestern Indiana, LLC
- Erin Vicari
- Silvia Beatriz Vicente
- Amari Victoria
- Marisa Helena Victory
- Vigilance Anesthesiologists & Pain Specialists PC
- Jennifer Lee Virgl
- Cassandra Visef
- Rhonda Voas
- Angela Christine Vogel
All providers in Crown Point, IN · Certified Registered Nurse Anesthetist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.