| NPI | 1366833196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID W SIMPSON Member 312-931-5961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2023-10-19 |