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1023066123
JOHN FITZGERALD
AURORA, IL
NPI
1023066123
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: IL 209003487)
Enumeration Date
2006-05-04
Last Update Date
2008-05-19
Business Address
-- JOHN FITZGERALD CRNA
PROVENA MERCY MEDICAL CENTER 1325 N. HIGHLAND AVE.
AURORA, IL 60506
Phone number: 630-859-2222
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Mailing Address
-- JOHN FITZGERALD CRNA
520 E 22ND ST
LOMBARD, IL 60148-6110
Phone number: 630-874-2542
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