Phyllis Wubben (NPI# 1861747594, PAC ID# 9133373194) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1861747594 |
| PAC ID by PECOS | 9133373194 |
| Professional Enrollment ID | I20130129000444 |
| Full Name | Phyllis Wubben |
| Organization Legal Name | NORTHSTAR ANESTHESIA OF ILLINOIS, LLC |
| Address |
1423 Chicago Rd Chicago Heights IL 60411-3400 |
| Phone Number | 7087561000 |
| Gender | F |
| Graduation Year | 1980 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4688893878 |
| Number of Group Practice Members | 87 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140172 | FRANCISCAN HEALTH OLYMPIA & CHICAGO HEIGHTS |
| Address | Phone | Organization |
|---|---|---|
| 1423 Chicago Rd, Chicago Heights, IL 60411-3400 | 7087561000 | NORTHSTAR ANESTHESIA OF ILLINOIS, LLC |
| 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 7087474000 | NORTHSTAR ANESTHESIA OF ILLINOIS, LLC |
| Organization Legal Name | NORTHSTAR ANESTHESIA OF ILLINOIS, LLC |
| Physicians | 77 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina Munson | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Illinois, LLC | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 |
| Dane A Hassani | Anesthesiology | Northstar Anesthesia of Illinois, LLC | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 |
| Shameem Sultana | Anesthesiology | Northstar Anesthesia of Illinois, LLC | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 |
| Rao B Pydisetty | Anesthesiology | Northstar Anesthesia of Illinois, LLC | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 |
| Yui Y Lau | Anesthesiology | Northstar Anesthesia of Illinois, LLC | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 |
| Bernard Wittels | Anesthesiology | Northstar Anesthesia of Illinois, LLC | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 |
| Mauree Beard | Anesthesiology | Northstar Anesthesia of Illinois, LLC | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 |
| Adriel Geoff Cansino | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Illinois, LLC | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 |
| David M Woosencraft | Anesthesiology | Northstar Anesthesia of Illinois, LLC | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 |
| Branka Pavlovic | Anesthesiology | Northstar Anesthesia of Illinois, LLC | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 |
| Street Address |
1423 CHICAGO RD |
| City | CHICAGO HEIGHTS |
| State | IL |
| Zip | 60411-3400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gina Munson | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Illinois, LLC | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 |
| Dane A Hassani | Anesthesiology | Northstar Anesthesia of Illinois, LLC | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 |
| Raj Chinnappan | Diagnostic Radiology | Specialists In Medical Imaging Sc | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 |
| Shameem Sultana | Anesthesiology | Northstar Anesthesia of Illinois, LLC | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 |
| Rao B Pydisetty | Anesthesiology | Northstar Anesthesia of Illinois, LLC | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 |
| Mark A Vangorder | Pathology | Consultants In Pathology Sc | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 |
| Yui Y Lau | Anesthesiology | Northstar Anesthesia of Illinois, LLC | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 |
| Bernard Wittels | Anesthesiology | Northstar Anesthesia of Illinois, LLC | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 |
| Mauree Beard | Anesthesiology | Northstar Anesthesia of Illinois, LLC | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 |
| Adriel Geoff Cansino | Certified Registered Nurse Anesthetist (crna) | Northstar Anesthesia of Illinois, LLC | 1423 Chicago Rd, Chicago Heights, IL 60411-3400 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph M Lach | Family Medicine | Franciscan Physician Network | 211 Dixie Hwy, Chicago Heights, IL 60411-1696 |
| Vijaykumar Rao | Nephrology | Associates In Nephrology Sc | 177 W Joe Orr Rd, Chicago Heights, IL 60411-1733 |
| Dennis J Wolny | Podiatry | 275 201st St, Chicago Heights, IL 60411-1742 | |
| Frank Narcisi Jr. | Podiatry | 275 201st St, Chicago Heights, IL 60411-1742 | |
| Ronald E Greenspan | Optometry | Holmberg Optometric Ltd | 366 Dixie Hwy, Chicago Heights, IL 60411-1758 |
| Kathrine L Holmberg | Optometry | Holmberg Optometric Ltd | 366 Dixie Hwy, Chicago Heights, IL 60411-1758 |
| Nhat Nguyen | Optometry | Holmberg Optometric Ltd | 366 Dixie Hwy, Chicago Heights, IL 60411-1758 |
| Tiffany Hn Tang | Optometry | Holmberg Optometric Ltd | 366 Dixie Hwy, Chicago Heights, IL 60411-1758 |
| Yazen Joudeh | Internal Medicine | 316 Dixie Hwy, Chicago Heights, IL 60411-1770 | |
| Russell Marionno Guzzo | Chiropractic | 316 Dixie Hwy, Chicago Heights, IL 60411-1770 | |
| Find all physicians in zip 60411 | |||
| City | CHICAGO HEIGHTS |
| Zip Code | 60411 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | CHICAGO HEIGHTS + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Phyllis Wubben.
| 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.