Glenn A Woudenberg (NPI# 1598790693, PAC ID# 8325938756) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1598790693 |
| PAC ID by PECOS | 8325938756 |
| Professional Enrollment ID | I20040318000616 |
| Full Name | Glenn A Woudenberg |
| Organization Legal Name | CATALYST ANESTHESIA GROUP, LLC |
| Address |
850 W Irving Park Rd Chicago IL 60613-3077 |
| Phone Number | 7735256780 |
| Gender | M |
| Credential | CNA |
| Graduation Year | 1999 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1658525753 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140082 | LOUIS A WEISS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 850 W Irving Park Rd, Chicago, IL 60613-3077 | 7735256780 | CATALYST ANESTHESIA GROUP, LLC |
| Organization Legal Name | CATALYST ANESTHESIA GROUP, LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph J Alioto | Anesthesiology | Catalyst Anesthesia Group, LLC | 850 W Irving Park Rd, Chicago, IL 60613-3077 |
| Taratip Thupvong | Anesthesiology | Catalyst Anesthesia Group, LLC | 850 W Irving Park Rd, Chicago, IL 60613-3077 |
| Caitlin Marie Dore | Anesthesiology | Catalyst Anesthesia Group, LLC | 850 W Irving Park Rd, Chicago, IL 60613-3077 |
| Andrew T Gerstner | Anesthesiology | Catalyst Anesthesia Group, LLC | 850 W Irving Park Rd, Chicago, IL 60613-3077 |
| Kiley L Gibson | Certified Registered Nurse Anesthetist (crna) | Catalyst Anesthesia Group, LLC | 850 W Irving Park Rd, Chicago, IL 60613-3077 |
| Stephen J Houde | Anesthesiology | Catalyst Anesthesia Group, LLC | 850 W Irving Park Rd, Chicago, IL 60613-3077 |
| Amber D Golebiewski | Certified Registered Nurse Anesthetist (crna) | Catalyst Anesthesia Group, LLC | 850 W Irving Park Rd, Chicago, IL 60613-3077 |
| Gregory Hall Sams | Anesthesiology | Catalyst Anesthesia Group, LLC | 850 W Irving Park Rd, Chicago, IL 60613-3077 |
| Street Address |
850 W IRVING PARK RD |
| City | CHICAGO |
| State | IL |
| Zip | 60613-3077 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shephali Patel | Psychiatry | Wise Health Professional Corp | 850 W Irving Park Rd, Chicago, IL 60613-3099 |
| Neal A Spero | Dermatology | Thorek Memorial Hospital | 850 W Irving Park Rd, Chicago, IL 60613-3077 |
| Joseph J Alioto | Anesthesiology | Catalyst Anesthesia Group, LLC | 850 W Irving Park Rd, Chicago, IL 60613-3077 |
| Nitaya Chawla | Psychologist, Clinical | Manjeet S Chawla Md Ltd | 850 W Irving Park Rd, Chicago, IL 60613-3077 |
| Yves-mario Piverger | Family Medicine | Chicago Central Emergency Physicians, LLP | 850 W Irving Park Rd, Chicago, IL 60613-3099 |
| Corey W Shumate | Nurse Practitioner | Md Medical, LLC | 850 W Irving Park Rd, Chicago, IL 60613-3077 |
| Rhonda D Clifton | Nurse Practitioner | Thorek Memorial Hospital | 850 W Irving Park Rd, Chicago, IL 60613-3077 |
| Jose A Albisu | Gastroenterology | 850 W Irving Park Rd, Chicago, IL 60613-3077 | |
| Rachel Anita Goldstein | Emergency Medicine | Chicago Central Emergency Physicians, LLP | 850 W Irving Park Rd, Chicago, IL 60613-3099 |
| Tatjana Guzina | Internal Medicine | Thorek Memorial Hospital | 850 W Irving Park Rd, Chicago, IL 60613-3077 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dianna W Bolen | Psychologist, Clinical | 4350 N Hermitage Ave, Chicago, IL 60613-1106 | |
| Seth Solway | Psychologist, Clinical | 4256 N Ravenswood Ave, Suite 211, Chicago, IL 60613-1114 | |
| Dennis F Pomerleau | Clinical Social Worker | 4256 N Ravenswood Ave, Suite 314, Chicago, IL 60613-1114 | |
| Damita Larue | Psychologist, Clinical | 4256 N Ravenswood Ave, Suite 220, Chicago, IL 60613-1114 | |
| Judith H Bobbe | Clinical Social Worker | 4256 N Ravenswood Ave, Suite 304, Chicago, IL 60613-1114 | |
| Andrea H Fink | Psychologist, Clinical | 4256 N Ravenswood Ave, Suite 314, Chicago, IL 60613-1114 | |
| Tatiana A Jaramillo | Nurse Practitioner | Ravenswood Health and Wellness Center S.c. | 4256 N Ravenswood Ave, Suite 101, Chicago, IL 60613-1114 |
| Jason G Fennema | Chiropractic | Ravenswood Health and Wellness Center S.c. | 4256 N Ravenswood Ave, Suite 101, Chicago, IL 60613-1114 |
| Kristin Buller | Clinical Social Worker | 4256 N Ravenswood Ave, Suite 303, Chicago, IL 60613-1114 | |
| Ashok C Shah | Internal Medicine | 1624 W Montrose Ave, Chicago, IL 60613-1214 | |
| Find all physicians in zip 60613 | |||
| City | CHICAGO |
| Zip Code | 60613 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | CHICAGO + 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.