PHARES MONDO

WOODSTOCK, IL
NPI1720408834
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209011387)
Enumeration Date2014-04-16
Last Update Date2014-06-18
Business Address
-- PHARES MONDO CRNA
3701 DOTY RD
WOODSTOCK, IL 60098-7509
Phone number: 815-343-3170
Mailing Address
-- PHARES MONDO CRNA
520 E 22ND ST
LOMBARD, IL 60148-6110
Phone number: 630-960-9222