ILIA S PANOV (NPI# 1588800296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588800296 |
| Entity Type | Individual |
| Full Name | ILIA S PANOV |
| Credential | CRNA |
| Practice Address |
801 S Milwaukee Ave Libertyville IL 60048-3204 |
| Mailing Address |
Po Box 70 Lake Forest IL 60045-0070 |
| Practice Telephone | 8473622905 |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2008-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 209007349 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
801 S MILWAUKEE AVE |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043213911 | Condell Medical Center | General Acute Care Hospital | 801 S Milwaukee Ave, Libertyville, IL 60048-3199 | 2005-05-24 |
| 1356957658 | Alyson Favela | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2020-09-22 |
| 1467087486 | Julianna Williams | Emergency Medicine | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2020-03-10 |
| 1366073645 | Nicole Marie Locascio | Physician Assistant | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2020-01-27 |
| 1477198026 | Julia Margret Malloy | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2019-11-07 |
| 1396225280 | Steffanie A Francis | Physician Assistant | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2018-08-20 |
| 1639665193 | Antonette Renee Knar | Physician Assistant | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2018-07-09 |
| 1316448947 | Cheryl A Pahl | Clinical Nurse Specialist | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2018-02-28 |
| 1295235307 | Linda S Doyle | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048 | 2018-02-15 |
| 1366958878 | Lindsay Mckenzie | Nurse Practitioner | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2017-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| 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 |
|---|---|---|---|---|
| 1821366063 | Caroline Estabrook Allison | Nurse Anesthetist, Certified Registered | 801 South Milwaukee Avenue, Advocate Condell Medical Center, Libertyville, IL 60048 | 2011-12-02 |
| 1245244680 | Kimberly White | Nurse Anesthetist, Certified Registered | 2108 Kenton Ln, Libertyville, IL 60048-1500 | 2006-07-29 |
| 1689810392 | Laura Berman | Nurse Anesthetist, Certified Registered | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2008-12-30 |
| 1952579518 | White Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 2108 Kenton Ln, Libertyville, IL 60048-1500 | 2008-02-18 |
| 1750395190 | Ann Deverell | Nurse Anesthetist, Certified Registered | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2006-07-29 |
| 1356364293 | Mary Grace Kashmar | Nurse Anesthetist, Certified Registered | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2006-07-25 |
| 1356360903 | Darrel A Storbeck | Nurse Anesthetist, Certified Registered | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2006-07-18 |
| 1578581310 | Steven B Johnston | Nurse Anesthetist, Certified Registered | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2006-07-18 |
| 1417982026 | Wilfred E Soppe | Nurse Anesthetist, Certified Registered | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2006-07-11 |
| 1467409946 | Lake County Anesthesiologists Ltd | Nurse Anesthetist, Certified Registered | 801 S Milwaukee Ave, Libertyville, IL 60048-3204 | 2006-05-28 |
| Find all providers in LIBERTYVILLE | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
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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.