Annmarie Bach, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Mokena, IL
NPI 1477935112 · NPPES record last updated Aug 24, 2015
Key facts
- NPI
- 1477935112
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 209013115 (IL)
- Practice address
- 19627 S la Grange Rd
Mokena, IL 60448-9360 - Phone
- (708) 326-1671
- NPI assigned
- Jun 18, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Anesthesiologists SC
Northstar Anesthesia of Illinois, LLC
Gottlieb Midwest Anesthesiologists, LLC
Practice addresses (Care Compare)
2011 York Rd
Suite 3000
Oak Brook, IL 60523-2156
Phone (630) 472-2445
20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (708) 747-4000
530 N Cass Ave
Westmont, IL 60559-1503
Phone (630) 968-1800
Hospital & facility affiliations
- Uchicago Medicine Adventhealth la Grange
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150825004405 | IL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7810203676 | Reassigns benefits to 5 organizations |
| I20150827000413 | IN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 7810203676 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209013115 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Indiana II, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Northstar Anesthesia of Illinois, LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Northstar Anesthesia of Indiana LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Elmhurst Anesthesiologists, PC | Current |
Accepting new patients | |
| University Anesthesiologists SC | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Gottlieb Midwest Anesthesiologists, LLC | Current |
Accepting new patients | |
| RLT Neurologic Associates, LTD. | Past | Accepting new patients |
Locations
1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138
1653 W Congress Pkwy
Ste 740
Chicago, IL 60612
9145 Collection Ctr Dr
Chicago, IL 60693
845 N Michigan Ave
Ste 985W
Chicago, IL 60611
Phone (312) 521-5500
77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407
1200 S York St
Elmhurst, IL 60126
Phone (331) 221-5678
155 E Brush Hill Rd
Elmhurst, IL 60126
Phone (331) 221-3521
701 W North Ave
Melrose Park, IL 60160
Phone (708) 450-5779
2011 York Rd
Ste 3000
Oak Brook, IL 60523
Phone (414) 732-2577
20201 Crawford Ave
Olympia Flds, IL 60461
Phone (708) 503-3857
1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160
530 N Cass Ave
Westmont, IL 60559
Phone (630) 794-8688
11051 Broadway
Ste B
Crown Point, IN 46307
Phone (219) 308-0193
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
4411 Washington Ave
Ste 100
Evansville, IN 47714
Phone (313) 637-9861
1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 28211331A | IN | |
| Registered Nurse | 163W00000X | 041310711 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 209013115 | IL | Yes |
Addresses
Primary practice location
19627 S la Grange Rd
Mokena, IL 60448-9360
Mailing address
2831 Ryan Dr
New Lenox, IL 60451-2633
Phone (815) 717-6621
Other providers in Mokena, IL
- Assured Choice Home Health LLC
- At Home Health Services, LLC
- Melissa J Atieh
- Autumn Dental of Mokena LLC
- B.E.L.a. Charities, Inc.
- Balance Health PLLC
- Jose Balboa Blanco
- Melissa Jayne Banevich-Glaros
- Jessica Bara
- Jessica C Barnes
All providers in Mokena, IL · Certified Registered Nurse Anesthetist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2015. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.