Provider Demographics
NPI:1639315922
Name:DNES, OKSANA SUZANNE (CRNA)
Entity Type:Individual
Prefix:
First Name:OKSANA
Middle Name:SUZANNE
Last Name:DNES
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:OKSANA
Other - Middle Name:SUZANNE
Other - Last Name:DNES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNA
Mailing Address - Street 1:4100 TRIUMVERA DR APT 103
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-3852
Mailing Address - Country:US
Mailing Address - Phone:847-217-8670
Mailing Address - Fax:
Practice Address - Street 1:2650 RIDGE AVE
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-1718
Practice Address - Country:US
Practice Address - Phone:847-570-2760
Practice Address - Fax:847-570-2921
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-17
Last Update Date:2008-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.007363041.342266367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered