| NPI | 1043359730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE R NEMETH Executive Administrator 847-816-9296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 2006n0192) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |