Provider Demographics
NPI:1427013820
Name:TOPEL, CYNTHIA (CRNA)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:TOPEL
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 COURTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:PARK RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60068-4827
Mailing Address - Country:US
Mailing Address - Phone:847-287-7285
Mailing Address - Fax:
Practice Address - Street 1:330 W FRONTAGE RD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:IL
Practice Address - Zip Code:60093-3467
Practice Address - Country:US
Practice Address - Phone:847-441-4441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2016-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-002006367500000X
IL041-183394163W00000X
WI109961-303163W00000X
IN28108009A163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI364066417015OtherBC/BS OF WI
IL001606018OtherBC/BS OF IL
WI364066417015OtherBC/BS OF WI
ILK27731Medicare ID - Type Unspecified
IL958361Medicare PIN
ILIL4322001Medicare PIN
ILK27730Medicare ID - Type Unspecified
IL001606018OtherBC/BS OF IL
WI000521220Medicare ID - Type Unspecified