Souphaphone Bounmythavong Nicksic, CRNA
Souphaphone Bounmythavong Nicksic, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Elgin, Illinois. Qualified in 2009, 17 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Indiana.
- Years since qualifying
- 17
- Licensed in
- IL, IN
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- CRNA — Certified Registered Nurse Anesthetist
- An advanced practice nurse who administers anaesthesia.
Practice location Address checks out
1425 N Randall RdElgin, IL 60123-2300
Phone: (224) 783-1065
Fax: (224) 783-2852
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 2475 Dean St, Saint Charles, IL 60175-4831 — (630) 584-9800
- 2600 Greenbush St, Lafayette, IN 47904-2477 — (765) 448-8000
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 209008677 (IL) |
|---|---|
| Certified Registered Nurse Anesthetist | Taxonomy 367500000X · Licence 28181986A (IN) |
Record details
| NPI number | 1740425701 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CRNA |
| Sole proprietor | No |
| NPI enumerated | December 4, 2008 |
| Last updated in NPPES | August 30, 2023 |
| Certification date | August 30, 2023 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Group practice | Advocate Health And Hospitals Corporation — 3079 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Elgin
-
Janine A. Goodsite, CRNA
77 N Airlite St, Elgin, IL 60123-4912 · (312) 695-3200
-
Danielle M Nakhshin, CRNA
77 N Airlite St, Elgin, IL 60123-4912 · (619) 807-2052
-
James Redding
1425 N Randall Rd, Elgin, IL 60123-2300 · (224) 783-2932
-
Laura J Sostak, CRNA
934 Center St, Elgin, IL 60120-2125 · (847) 742-9800
-
Steve Urbane, CRNA
934 Center St, Elgin, IL 60120-2125 · (847) 742-9800
-
Joan Young, CRNA
77 N Airlite St, Elgin, IL 60123-4912 · (847) 695-3200