NPI | 1346282522 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN TAIMOORAZY President 309-454-1400 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: IL 042616733) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 042616733) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2010-12-14 |