| NPI | 1245402965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA L WOJCIECHOWSKI Owner 815-316-1894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 209001050) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-11-11 |