| NPI | 1053741322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY NEWCOMB Authorized Official 847-615-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |