DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MADISSON ROSE MARCUM CRNA

MEDICARE: MADISSON ROSE MARCUM CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist209.034601IL

General Provider Information

NPI Number : 1073463253
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISSON ROSE MARCUM CRNA
Provider Business Mailing Address
First Line : PO BOX 372
Second Line :
City : MATTOON
State : IL
Zip : 61938-0372
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 HEALTH CENTER DR
Second Line :
City : MATTOON
State : IL
Zip : 61938-4644
Country : US
Telephone Number : 217-238-4329
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2026
Last Update Date : 03/13/2026

Similar Medicare Providers

1699858068 — DR. RAVISHANKAR HASANADKA M.D.
Practice Location Address:
1000 HEALTH CENTER DR
MATTOON, IL
61938-4644
Practice Phone: 217-258-4049
Practice Fax: 217-238-4491
1699625038 — DAVID ALEXANDER ATHAY
Practice Location Address:
1000 HEALTH CENTER DR
MATTOON, IL
61938-4644
Practice Phone: 217-238-4329
Practice Fax:
1801746086 — BRADLEY MARCUM CRNA
Practice Location Address:
1000 HEALTH CENTER DR
MATTOON, IL
61938-4644
Practice Phone: 217-238-4329
Practice Fax:
1124467097 — JULIA VERONICA FIUK MD
Practice Location Address:
1000 HEALTH CENTER DR STE 305
MATTOON, IL
61938-4644
Practice Phone: 217-258-4186
Practice Fax: 217-348-4185
1851385462 — RANDY R ISAACS MD
Practice Location Address:
1000 HEALTH CENTER DR
MATTOON, IL
61938-4644
Practice Phone: 217-238-4325
Practice Fax: 217-348-4290
1881665966 — DR. JOHN CARL VENTURA MD
Practice Location Address:
1000 HEALTH CENTER DR
MATTOON, IL
61938-4644
Practice Phone: 217-258-2551
Practice Fax: 217-258-2256

Directions to “ MADISSON ROSE MARCUM CRNA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.