LOWELL Z WAX

EVANSTON, IL
NPI1194939876
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  041-139585)
Enumeration Date2007-05-10
Last Update Date2008-06-25
Business Address
-- LOWELL Z WAX CRNA
355 RIDGE AVE
EVANSTON, IL 60202-3328
Phone number: 847-316-3364
Mailing Address
-- LOWELL Z WAX CRNA
PO BOX 570
LAKE FOREST, IL 60045-0570
Phone number:
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