| NPI | 1407141021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA DAVIS President 312-342-9026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 41290355) |
| Enumeration Date | 2011-06-11 |
| Last Update Date | 2011-06-14 |