| NPI | 1316384795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARISTEIDIE M DIVERIS President 847-309-9896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2013-05-27 |
| Last Update Date | 2013-05-28 |