Encore Anesthesia Group LLC
Organization Active NPI Anesthesiology Physician · Oak Park, IL
NPI 1558987883 · NPPES record last updated Jun 26, 2020
Key facts
- NPI
- 1558987883
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Anesthesiology Physician 207L00000X
- Legal business name
- ENCORE ANESTHESIA GROUP LLC
- Practice address
- 3 Erie CT
Oak Park, IL 60302-2519 - Phone
- (708) 383-6200
- NPI assigned
- Jun 23, 2020
- Organization subpart
- No
Authorized official
- Name
- Samir H Navik, MD
- Title
- Auhtorized Representative
- Phone
- (217) 553-8966
Practitioners 82
-
Ayesha Y Ahmed, M.D.
-
Sheila Atendido, CRNA
-
John L. Bertolozzi, D.O.
-
Rebecca Jean Burkhart, CRNA
-
Mark Burno, MD
-
Charley Ding, MD
-
Anjana Dwivedi, ANJANA DWIVEDI, M.D.
-
Jereme Froehlich, CRNA
-
Jenny R S Handa, CRNA
-
Aaron Wayne Holmes, CRNA
-
Yoojung Kang, MSN, CRNA
-
James B Kim, MD
-
Krzysztof Malewicz, CRNA
-
Maria G Millichap, APRN, CRNA
-
Quang Duy Pham, D.O.
-
Yelena Rikhman, APN-CRNA
-
Gregory Sams, M.D.
-
Stephen Xue, M.D.
-
William R Zimmermann, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200819000850 | IL | Part B Supplier - Clinic/Group Practice | 3476979683 |
Receives reassigned benefits from 79 practitioners Practice locations: Melrose Park, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | Yes | ||
| Certified Registered Nurse Anesthetist |
367500000X |
Addresses
Primary practice location
3 Erie CT
Oak Park, IL 60302-2519
Mailing address
PO Box 809083
Chicago, IL 60680-9083
Phone (800) 516-5315
Other providers in Oak Park, IL
- Empower Family Therapy, LLC.
- Empowered Wellness
- Empowering Kids, Inc
- Jennifer Enache
- Iram Enayet
- Encounter Medical
- Encounter Medical Group, P.C.
- Encourage Pediatric Therapy Services LLC
- Endocrine Associates LLC
- Ruth S. Engel
All providers in Oak Park, IL · Anesthesiology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2020. 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.