| NPI | 1255393112 |
|---|---|
| Other Name | PROFESSIONAL FEES |
| Entity Type | Organization |
| Authorized Contact | ANN BOWLING Director 217-588-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2024-06-14 |