| NPI | 1104198647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA CITARI Authorized Official 630-640-9618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| 367H00000X Anesthesiologist Assistant | |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2016-11-22 |