TAJ GUBATANGA

MAYWOOD, IL
NPI1629747282
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209024958)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28206360A)
Enumeration Date2021-09-08
Last Update Date2022-05-31
Business Address
TAJ GUBATANGA CRNA
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 312-774-6297
Mailing Address
TAJ GUBATANGA CRNA
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-9000