| NPI | 1669417440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD STEPHENSON President 773-333-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2007-10-29 |