CARLOS H MACHICAO

MOUNT VERNON, IL
NPI1730226457
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209003950)
Enumeration Date2007-01-31
Last Update Date2010-06-04
Business Address
-- CARLOS H MACHICAO CRNA
605 N 12TH ST ANESTHESIOLOGY DEPARTMENT
MOUNT VERNON, IL 62864-2857
Phone number: 618-242-4600
Mailing Address
-- CARLOS H MACHICAO CRNA
4227 LINCOLNSHIRE DRIVE
MOUNT VERNON, IL 62864-2157
Phone number: 618-242-2317
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