| NPI | 1548210560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK CHEUK President/CEO 219-267-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2024-02-26 |