| NPI | 1316985112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG GARDNER Authorized Representative 630-856-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2009-05-18 |