MR. VITALIY A VULYKH (NPI# 1013310606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013310606 |
| Entity Type | Individual |
| Full Name | MR. VITALIY A VULYKH |
| Credential | APN |
| Practice Address |
2520 Elisha Ave Zion IL 60099-2676 |
| Mailing Address |
955 Knollwood Dr Buffalo Grove IL 60089-1006 |
| Practice Telephone | 8473731505 |
| Mailing Telephone | 8473731505 |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2016-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 209011848 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2520 ELISHA AVE |
| City | ZION |
| State | IL |
| Zip Code | 60099-2676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134115769 | Ashwin Murigeppa Sheelvanth | Internal Medicine | 2520 Elisha Ave, Zion, IL 60099-2676 | 2005-09-20 |
| 1306470364 | Mariah Long | 2520 Elisha Ave, Zion, IL 60099-2676 | 2020-02-28 | |
| 1881153575 | Deborah Green | Specialist/Technologist, Other | 2520 Elisha Ave, Zion, IL 60099-2676 | 2019-03-13 |
| 1740748094 | Amy Anne Wisniewski | Registered Nurse | 2520 Elisha Ave, Zion, IL 60099-2676 | 2019-03-06 |
| 1144794983 | Williams K. Ojo | Specialist/Technologist, Other | 2520 Elisha Ave, Zion, IL 60099-2676 | 2019-01-15 |
| 1912486135 | Julia Fechtner | Dietitian, Registered | 2520 Elisha Ave, Zion, IL 60099-2676 | 2018-08-08 |
| 1417436791 | Jarrett Cramer Stoll | Dietitian, Registered | 2520 Elisha Ave, Zion, IL 60099-2676 | 2018-08-08 |
| 1982182135 | Danielle Hill | Dietitian, Registered | 2520 Elisha Ave, Zion, IL 60099-2676 | 2018-07-31 |
| 1295213395 | Kirsten Kane | Dietitian, Registered | 2520 Elisha Ave, Zion, IL 60099-2676 | 2018-07-31 |
| 1932686482 | Sadie Dahlk | Dietitian, Registered | 2520 Elisha Ave, Zion, IL 60099-2676 | 2018-07-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033674 | Ghazala Raheel | Pharmacist | 4000 Route # 173, Zion, IL 60099 | 2020-11-03 |
| 1295384790 | Loretta Beatrice Colwell | Technician | 3005 Elizabeth Ave, Zion, IL 60099 | 2019-09-06 |
| 1053893164 | Tea Mohn | Psychologist | 3901 W. 21st Street, Zion, IL 60099 | 2018-09-05 |
| 1326540808 | Monica Donald | Specialist/Technologist | 2825 Jethro Ct, Zion, IL 60099 | 2018-03-01 |
| 1265816516 | Igor Wroblewski | Internal Medicine | 2505 26th St, Zion, IL 60099 | 2015-07-16 |
| 1831432996 | Samuel Harrison Cannon Jr. | Nurse Anesthetist, Certified Registered | 3302 Wembley Dr, Zion, IL 60099 | 2013-03-27 |
| 1619213618 | Lizel Ann Granada | Nurse Practitioner | 2723 Sheridan Road, Suite C, Zion, IL 60099 | 2012-12-19 |
| 1194070540 | Shana Marie Pagtalunan Ramirez | Physical Therapist | 2404 Joppa Ave., Zion, IL 60099 | 2012-07-20 |
| 1962674978 | Zion Benton Children's Service | Dentist | 1608 W 23rd St, Zion, IL 60099 | 2008-03-31 |
| 1710176110 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 4580 Rt. 173, Zion, IL 60099 | 2007-10-22 |
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| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831432996 | Samuel Harrison Cannon Jr. | Nurse Anesthetist, Certified Registered | 3302 Wembley Dr, Zion, IL 60099 | 2013-03-27 |
| 1528567831 | Midwestern Anesthesiology Sc | Nurse Anesthetist, Certified Registered | 2520 Elisha Ave, Zion, IL 60099-2676 | 2018-02-02 |
| 1649516410 | Randy R Pomar | Nurse Anesthetist, Certified Registered | 2520 Elisha Ave, Zion, IL 60099-2676 | 2012-12-21 |
| 1992051056 | Emily T Penn | Nurse Anesthetist, Certified Registered | Cancer Treatment Centers of America, 2520 Elisha Avenue, Zion, IL 60099 | 2012-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797525 | Crna Stat Inc | Nurse Anesthetist, Certified Registered | 4534 S Lake Park Ave, Chicago, IL 60653-4510 | 2020-07-08 |
| 1285258855 | Doug Brickey | Nurse Anesthetist, Certified Registered | 913 N Main St Apt 502, Rockford, IL 61103-7058 | 2020-05-30 |
| 1508480153 | Scott Allsup | Nurse Anesthetist, Certified Registered | 1337 W Early Ave Apt 1, Chicago, IL 60660-5465 | 2020-05-29 |
| 1265051817 | Apollo Anesthesia and Pain Management, Pllc | Nurse Anesthetist, Certified Registered | 520 Valley View Dr Ste 300, Moline, IL 61265-6152 | 2020-04-14 |
| 1194352286 | Decelle Jewel Manuel Enriquez | Nurse Anesthetist, Certified Registered | 251 E Huron St Ste F5-704, Chicago, IL 60611-2908 | 2020-03-26 |
| 1538795398 | Marcin Cebula | Nurse Anesthetist, Certified Registered | 7519 Long Ave, Burbank, IL 60459-1362 | 2020-03-12 |
| 1376105684 | Tel Anesthesia, Ltd | Nurse Anesthetist, Certified Registered | 7 Flint Ct, Bloomington, IL 61705-8830 | 2019-07-08 |
| 1013474071 | Vitalz Anesthesia Unlimited LLC | Nurse Anesthetist, Certified Registered | 6708 N Knoxville Ave Ste 1, Peoria, IL 61614-2863 | 2019-02-26 |
| 1689130247 | Sheri Rylko | Nurse Anesthetist, Certified Registered | 1653 W. Congress Pkwy. Jelke 7, Chicago, IL 60612 | 2019-02-19 |
| 1760968101 | Daniel Bermea | Nurse Anesthetist, Certified Registered | 6811 Brementowne Dr, Tinley Park, IL 60477-1605 | 2018-07-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.