Individual provider · Type 1 NPI
Souphaphone Bounmythavong Nicksic, CRNA
Certified Registered Nurse Anesthetist · Elgin, IL
Practice location
1425 N Randall Rd
Elgin, IL 60123-2300
Fax (224) 783-2852
Mailing address
29373 Network Pl
Chicago, IL 60673-1293
Other practice locations
- 2475 Dean St, St. Charles, IL 60175-4831 · (630) 584-9800
- 2600 Greenbush St, Lafayette, IN 47904-2477 · (765) 448-8000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28181986A (IN) |
| Certified Registered Nurse Anesthetist Primary | 367500000X | 209008677 (IL) |
Certified Registered Nurse Anesthetist: (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 creden…
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- Maternal Fetal Consultants, SCMedical Specialty Clinic/Center Elgin, IL NPI 1821256355
- Midwest Perinatal Consultants, SCMedical Specialty Clinic/Center Elgin, IL NPI 1396014288
- Northwest Suburban Imaging Associates, S.c.Vascular & Interventional Radiology Physician Elgin, IL NPI 1356310163
- United Anesthesia Associates SCGeneral Acute Care Hospital Elgin, IL NPI 1821473505
- Abigail GinnHospice and Palliative Medicine (Internal Medicine) Physician Elgin, IL NPI 1164953238
- Abraham Bogachkov, MDDiagnostic Radiology Physician Elgin, IL NPI 1992195697
- Adam Spain, DOInternal Medicine Physician Elgin, IL NPI 1659758068
- Alejandro Javier De Gorordo, MDAnesthesiology Physician Elgin, IL NPI 1275996837
Other certified registered nurse anesthetist providers in Elgin
- Syed Saad IqbalCertified Registered Nurse Anesthetist Elgin, IL NPI 1093351926
- Janine A. Goodsite, CRNACertified Registered Nurse Anesthetist Elgin, IL NPI 1093763070
- James ReddingCertified Registered Nurse Anesthetist Elgin, IL NPI 1124403563
- Laura J. Sostak, CRNACertified Registered Nurse Anesthetist Elgin, IL NPI 1134230808
- Sheila Murray, CRNACertified Registered Nurse Anesthetist Elgin, IL NPI 1487108312
- Minnara AbrahamCertified Registered Nurse Anesthetist Elgin, IL NPI 1487486650
- Joan Young, CRNACertified Registered Nurse Anesthetist Elgin, IL NPI 1518925544
- Steve Urbane, CRNACertified Registered Nurse Anesthetist Elgin, IL NPI 1790889111
About NPI 1740425701
Souphaphone Bounmythavong Nicksic, CRNA's National Provider Identifier is 1740425701, issued on Dec 4, 2008. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Elgin, IL. The record was last updated on Aug 30, 2023.