Kenneth C Leeberg (NPI# 1093172132, PAC ID# 8123322054) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1093172132 |
| PAC ID by PECOS | 8123322054 |
| Professional Enrollment ID | I20160212000883 |
| Full Name | Kenneth C Leeberg |
| Organization Legal Name | AMERICAN ANESTHESIOLOGY ASSOCIATES OF ILLINOIS, S.C. |
| Address |
333 Madison St Joliet IL 60435-8200 |
| Phone Number | 8157257133 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 3971498924 |
| Number of Group Practice Members | 126 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 19624 Governors Hwy, Flossmoor, IL 60422-2077 | 7087985838 | LAKE ANESTHESIA ASSOCIATES |
| 333 Madison St, Joliet, IL 60435-8200 | 8157257133 | AMERICAN ANESTHESIOLOGY ASSOCIATES OF ILLINOIS, S.C. |
| Organization Legal Name | AMERICAN ANESTHESIOLOGY ASSOCIATES OF ILLINOIS, S.C. |
| Physicians | 111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Prit Shah | Anesthesiology | American Anesthesiology Associates of Illinois, S.c. | 500 W Court St, Kankakee, IL 60901-3661 |
| Laila A Budhwani | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology Associates of Illinois, S.c. | 998 N 129th Infantry Dr, Joliet, IL 60435-3159 |
| Madison Sample Jr. | Anesthesiology | American Anesthesiology Associates of Illinois, S.c. | 333 Madison St, Joliet, IL 60435-8200 |
| Maen Martini | Anesthesiology | American Anesthesiology Associates of Illinois, S.c. | 19627 S Lagrande Rd, Mokena, IL 60448 |
| Liza A Dafchahi Shirani | Anesthesiology | American Anesthesiology Associates of Illinois, S.c. | 77 N Airlite St, Elgin, IL 60123-4912 |
| Shilpa H Thakkar | Anesthesiology | American Anesthesiology Associates of Illinois, S.c. | 333 Madison St, Joliet, IL 60435-8200 |
| Jennifer A Koester | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology Associates of Illinois, S.c. | 1400 W Park St, Urbana, IL 61801-2334 |
| Venugopal R Polasani | Anesthesiology | American Anesthesiology Associates of Illinois, S.c. | 998 N 129th Infantry Dr, Joliet, IL 60435-3159 |
| Janine A Goodsite | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology Associates of Illinois, S.c. | 77 N Airlite St, Elgin, IL 60123-4912 |
| Fritz-jose Edwards Chandler | Anesthesiology | American Anesthesiology Associates of Illinois, S.c. | 600 Grant St, Gary, IN 46402-6001 |
| Street Address |
333 MADISON ST |
| City | JOLIET |
| State | IL |
| Zip | 60435-8200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Madison Sample Jr. | Anesthesiology | American Anesthesiology Associates of Illinois, S.c. | 333 Madison St, Joliet, IL 60435-8200 |
| Henry J Fuentes | Orthopedic Surgery | Parkview Orthopaedic Group S C | 333 Madison St, Joliet, IL 60435-8233 |
| Shilpa H Thakkar | Anesthesiology | American Anesthesiology Associates of Illinois, S.c. | 333 Madison St, Joliet, IL 60435-8200 |
| Pavana Radhakrishna | Internal Medicine | Presence Healthcare Services | 333 Madison St, Joliet, IL 60435-8200 |
| Michael E Donahue | Emergency Medicine | Cepamerica Illinois LLP | 333 Madison St, Joliet, IL 60435-8200 |
| Tiffany M Richardson | Certified Registered Nurse Anesthetist (crna) | American Anesthesiology Associates of Illinois, S.c. | 333 Madison St, Joliet, IL 60435-8200 |
| James A Gramm | Cardiac Surgery | Cardiac Surgery Associates Sc | 333 Madison St, Joliet, IL 60435-8200 |
| Katherine M Schroeder | Emergency Medicine | Cepamerica Illinois LLP | 333 Madison St, Joliet, IL 60435-8200 |
| Steven Jiotis | Anesthesiology | American Anesthesiology Associates of Illinois, S.c. | 333 Madison St, Joliet, IL 60435-8200 |
| Theresa C Gandor | Emergency Medicine | Cepamerica Illinois LLP | 333 Madison St, Joliet, IL 60435-8200 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ankur Sharma | Nephrology | Northeast Nephrology Consultants | 3100 Theodore St, Suite 201, Joliet, IL 60435-0605 |
| Naila I Ahmed | Nephrology | Northeast Nephrology Consultants | 3100 Theodore St, Suite 201, Joliet, IL 60435-0605 |
| Zdzislawa T Majka-kravets | Nephrology | Northeast Nephrology Consultants | 3100 Theodore St, Suite 201, Joliet, IL 60435-0605 |
| Aaron Gurfinchel | Internal Medicine | Northeast Nephrology Consultants | 3100 Theodore St, Suite 201, Joliet, IL 60435-0605 |
| Mahwesh Javed | Family Medicine | Presence Healthcare Services | 3100 Theodore St, Suite 203, Joliet, IL 60435-0605 |
| Preeti R Nagarkatte | Nephrology | Northeast Nephrology Consultants | 3100 Theodore St, Suite 201, Joliet, IL 60435-0605 |
| Muneeb Qadri | Family Medicine | Presence Healthcare Services | 3100 Theodore St, Suite 203, Joliet, IL 60435-0605 |
| Azeem M Ahsan | Family Medicine | 1640 Willow Circle Dr, Suite 100, Crest Hill, IL 60435-0960 | |
| Joseph A Moreno | Optometry | Rosin Optical Co Inc | 2820 Plainfield Rd, Joliet, IL 60435-1167 |
| Michael T Rager | Chiropractic | 2405 Essington Rd J, Joliet, IL 60435-1225 | |
| Find all physicians in zip 60435 | |||
| City | JOLIET |
| Zip Code | 60435 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | JOLIET + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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| 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.