Jacqueline E Scalissi Certified Registered Nurse Anesthetist
1016 Featherstone Rd, Rockford, IL 61107-5902


Jacqueline E Scalissi is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1477826311. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 1951545805. The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST. The organization is ROCKFORD ANESTHESIOLOGISTS ASSOCIATED LLC. The address is 1016 Featherstone Rd, Rockford, IL 61107-5902. The zip code is 61107.


Jacqueline E Scalissi · 1016 Featherstone Rd, Rockford, IL 61107-5902

Nation Provider ID 1477826311
PAC ID by PECOS 1951545805
Professional Enrollment ID I20130917000063
Last Name SCALISSI
First Name JACQUELINE
Middle Name E
Gender F
Medical School Name OTHER
Graduation Year 2013
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST
Primary Specialty ROCKFORD ANESTHESIOLOGISTS ASSOCIATED LLC
Phone Number 8152263300
Group Practice PAC ID 5597668004
Number of Group Practice Members 63
Address 1016 FEATHERSTONE RD
ROCKFORD, IL 611075902
Claims Based Hospital Affiliation Claim Control Number (CCN): 140228
Legal Business Name: SWEDISH AMERICAN HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 140233
Legal Business Name: SAINT ANTHONY MEDICAL CENTER
Professional accepts Medicare Assignment Y
Report Quality Measures Y

Rockford Anesthesiologists Associated LLC · Medicare Physician

Name Address Specialty
Cathy Aron 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Azhar Kothawala 2202 Harlem Rd, Loves Park, IL 61111-2754 INTERVENTIONAL PAIN MANAGEMENT
Stanislav Brandis 2202 Harlem Rd, Loves Park, IL 61111-2754 ANESTHESIOLOGY
Brian Birmingham 2202 Harlem Rd, Loves Park, IL 61111-2754 ANESTHESIOLOGY
Tomasz Szerszow 2202 Harlem Rd, Loves Park, IL 61111-2754 ANESTHESIOLOGY
Edward Post 2202 Harlem Rd, Loves Park, IL 61111-2754 ANESTHESIOLOGY
Ronald Frenk 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
William Minore 2202 Harlem Rd, Loves Park, IL 61111-2754 INTERVENTIONAL PAIN MANAGEMENT
Wieslaw Podlasek 2202 Harlem Rd, Loves Park, IL 61111-2754 ANESTHESIOLOGY
Lowell Enser 2202 Harlem Rd, Loves Park, IL 61111-2754 ANESTHESIOLOGY
Gregory Vayl 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Randall Correia 2202 Harlem Rd, Loves Park, IL 61111-2754 ANESTHESIOLOGY
John Szewczyk 2202 Harlem Rd, Loves Park, IL 61111-2754 ANESTHESIOLOGY
Judith Schmidt 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Kelsey Wiechen 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Kelly Carroll 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Ronald Mcguire 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Joni Smith 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Darcy Myers 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Tracy Bedford 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST

Zip 61107 · Certified Registered Nurse Anesthetist · Medicare Physician

Name Address Specialty
Kelsey Wiechen 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Gregory Vayl 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Ronald Frenk 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Samuel Schwegler 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Tracy Bedford 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Jason Stern 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Laura Minore 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Karen Gustafson 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Lori Anderson 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Rita Bramley 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Todd Smidt 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Jody Frazier 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Timothy Dolan 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Jane Rickman 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Cherrilyn Yamat 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Lowell Wills 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Edward Zhovtis 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Erin Butler 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Malynnda Mueller 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Kelly Carroll 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST

Zip 61107 · Medicare Physician

Name Address Specialty
Mihai Mititelu 444 Roxbury Rd, Rockford, IL 61107-5059 OPHTHALMOLOGY
Nancy Dagefoerde 444 Roxbury Rd, Rockford, IL 61107-5059 NURSE PRACTITIONER
Drew Fitzanko 2662 Mcfarland Rd, Rockford, IL 61107-6806 PHYSICAL THERAPY
Rachel Reardon 1601 N University Dr, Rockford, IL 61107-5317 CLINICAL SOCIAL WORKER
Joanna Niemiec 612 Roxbury Rd, Rockford, IL 61107-5089 NEPHROLOGY
Matthew Schwabero 2902 Mcfarland Rd, Rockford, IL 61107-6801 PHYSICIAN ASSISTANT
Luke Frederick 351 Executive Pkwy, Rockford, IL 61107-5339 UROLOGY
Suzanne Stephan 8616 Northern Ave, Rockford, IL 61107-5309 CLINICAL SOCIAL WORKER
Lori Schultz 1235 N Mulford Rd, Rockford, IL 61107-3879 NURSE PRACTITIONER
Edward Zhovtis 1016 Featherstone Rd, Rockford, IL 61107-5902 CERTIFIED REGISTERED NURSE ANESTHETIST
Lindsay Randles 324 Roxbury Rd, Rockford, IL 61107-5090 PHYSICAL THERAPY
Vasana Lerdvoratavee 1603 N Alpine Rd, Rockford, IL 61107-1439 OPTOMETRY
William Hillmann 1603 N Alpine Rd, Rockford, IL 61107-1439 OPTOMETRY
Thomas Shula 444 Roxbury Rd, Rockford, IL 61107-5059 PEDIATRIC MEDICINE
Aaron Wieland 444 Roxbury Rd, Rockford, IL 61107-5059 OTOLARYNGOLOGY
Leela Dhanekula 444 Roxbury Rd, Rockford, IL 61107-5059 CARDIAC ELECTROPHYSIOLOGY
Elizabeth Mundy-hemmerich 1601 N University Dr, Rockford, IL 61107-5317 CLINICAL SOCIAL WORKER
Melody Hartman 1253 N Alpine Rd, Rockford, IL 61107-2201 AUDIOLOGIST
Jason Blake 698 Featherstone Rd, Rockford, IL 61107-6303 CLINICAL SOCIAL WORKER
Ronald Foran 444 Roxbury Rd, Rockford, IL 61107-5059 CARDIOVASCULAR DISEASE (CARDIOLOGY)