MICHAEL T ABACA

DECATUR, IL
NPI1457373706
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209006213)
Enumeration Date2006-07-24
Last Update Date2021-12-29
Business Address
Mr. MICHAEL T ABACA CRNA
1800 E LAKE SHORE DR
DECATUR, IL 62521-3810
Phone number: 217-464-2966
Mailing Address
Mr. MICHAEL T ABACA CRNA
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6941
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