Kenyetta D Woodard (NPI# 1326313008, PAC ID# 3274796610) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1326313008 |
| PAC ID by PECOS | 3274796610 |
| Professional Enrollment ID | I20120522000834 |
| Full Name | Kenyetta D Woodard |
| Organization Legal Name | ALLIED ANESTHESIA ASSOCIATES PC |
| Address |
403 S Kennedy Dr Bradley IL 60915-2152 |
| Phone Number | 8159289999 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 0042118069 |
| Number of Group Practice Members | 53 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140281 | NORTHWESTERN MEMORIAL HOSPITAL |
| 140276 | LOYOLA UNIVERSITY MEDICAL CENTER |
| 140213 | SILVER CROSS HOSPITAL AND MEDICAL CENTERS |
| Address | Phone | Organization |
|---|---|---|
| 403 S Kennedy Dr, Bradley, IL 60915-2152 | 8159289999 | ALLIED ANESTHESIA ASSOCIATES PC |
| 251 E Huron, 704 Dept of Anes, Chicago, IL 60611-2908 | 3129262280 | NORTHWESTERN MEDICAL FACULTY FOUNDATION |
| 2160 S 1st Ave, Maywood, IL 60153-3328 | 7082169000 | LOYOLA UNIVERSITY MEDICAL CENTER |
| Organization Legal Name | ALLIED ANESTHESIA ASSOCIATES PC |
| Physicians | 54 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dawn L Simms | Certified Registered Nurse Anesthetist (crna) | Allied Anesthesia Associates PC | 1301 Copperfield Ave, Suite 203, Joliet, IL 60432-2056 |
| Jacquelyn Anne Flynn | Certified Registered Nurse Anesthetist (crna) | Allied Anesthesia Associates PC | 1200 Maple Rd, Joliet, IL 60432-1439 |
| Angela Tylka | Certified Registered Nurse Anesthetist (crna) | Allied Anesthesia Associates PC | 403 S Kennedy Dr, Bradley, IL 60915-2152 |
| Patricia J Murtaugh | Certified Registered Nurse Anesthetist (crna) | Allied Anesthesia Associates PC | 1200 Maple Rd, Joliet, IL 60432-1439 |
| Jared P Hansen | Anesthesiology | Allied Anesthesia Associates PC | 1200 Maple Rd, Joliet, IL 60432-1439 |
| John M Iskander | Anesthesiology | Allied Anesthesia Associates PC | 1200 Maple Rd, Joliet, IL 60432-1439 |
| Nicole M Mcdermott | Certified Registered Nurse Anesthetist (crna) | Allied Anesthesia Associates PC | 1200 Maple Rd, Joliet, IL 60432-1439 |
| Jennifer M Antone | Certified Registered Nurse Anesthetist (crna) | Allied Anesthesia Associates PC | 1200 Maple Rd, Joliet, IL 60432-1439 |
| Amy M Blanks | Certified Registered Nurse Anesthetist (crna) | Allied Anesthesia Associates PC | 1200 Maple Rd, Joliet, IL 60432-1439 |
| Ryan S Deushane | Certified Registered Nurse Anesthetist (crna) | Allied Anesthesia Associates PC | 1200 Maple Rd, Joliet, IL 60432-1439 |
| Street Address |
403 S KENNEDY DR |
| City | BRADLEY |
| State | IL |
| Zip | 60915-2152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela Tylka | Certified Registered Nurse Anesthetist (crna) | Allied Anesthesia Associates PC | 403 S Kennedy Dr, Bradley, IL 60915-2152 |
| Joanne C Kozak | Certified Registered Nurse Anesthetist (crna) | Allied Anesthesia Associates PC | 403 S Kennedy Dr, Bradley, IL 60915-2152 |
| Rhonda J Sledge | Certified Registered Nurse Anesthetist (crna) | Allied Anesthesia Associates PC | 403 S Kennedy Dr, Bradley, IL 60915-2152 |
| Jana Kliestik | Certified Registered Nurse Anesthetist (crna) | Allied Anesthesia Associates PC | 403 S Kennedy Dr, Bradley, IL 60915-2152 |
| Maryellen H Kilkenny | Certified Registered Nurse Anesthetist (crna) | Allied Anesthesia Associates PC | 403 S Kennedy Dr, Bradley, IL 60915-2152 |
| Adeola Adesuyi | Certified Registered Nurse Anesthetist (crna) | Allied Anesthesia Associates PC | 403 S Kennedy Dr, Bradley, IL 60915-2152 |
| Joseph P Wubben | Certified Registered Nurse Anesthetist | Allied Anesthesia Associates PC | 403 S Kennedy Dr, Bradley, IL 60915-2152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Rieger | Clinical Social Worker | 525 E N St B, Bradley, IL 60915-1186 | |
| Beth A Shelton | Clinical Social Worker | 525 E N St B, Bradley, IL 60915-1186 | |
| J M Panuska | Preventative Medicine | Physicians Immediate Care North Chicago LLC | 350 N Kinzie Ave, Bradley, IL 60915-1221 |
| Clyde W Dayhoff Jr. | Family Medicine | Medical Group of Kankakee County | 555 E N St, Suite E, Bradley, IL 60915-1232 |
| Jennifer Carter Christenson | Physician Assistant | Medical Group of Kankakee County | 555 E N St, Suite E, Bradley, IL 60915-1232 |
| Elizabeth Barker | Nurse Practitioner | Medical Group of Kankakee County | 555 E N St, Suite E, Bradley, IL 60915-1232 |
| Kristy L Patterson | Physician Assistant | Medical Group of Kankakee County | 555 E N St, Suite E, Bradley, IL 60915-1232 |
| Hashim R Zaidi | Family Medicine | Medical Group of Kankakee County | 555 E N St, Suite E, Bradley, IL 60915-1232 |
| Jeffery D Long | Family Medicine | Medical Group of Kankakee County | 555 E N St, Suite E, Bradley, IL 60915-1232 |
| Melissa G Hyma | Physical Therapy | River Valley Physical Therapy Spine and Joint Center LLC | 517 E N St, Bradley, IL 60915-1258 |
| Find all physicians in zip 60915 | |||
| City | BRADLEY |
| Zip Code | 60915 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | BRADLEY + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Kenyetta D Woodard.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.