SCOTT STEVENS

URBANA, IL
NPI1144652025
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209010578)
Enumeration Date2013-08-02
Last Update Date2013-12-10
Business Address
-- SCOTT STEVENS
611 W PARK ST BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
Mailing Address
-- SCOTT STEVENS
602 W UNIVERSITY AVE
URBANA, IL 61801-2530
Phone number: 217-383-3303