| NPI | 1740599752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER FORSTER Head C RN A 773-383-0776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2010-09-26 |
| Last Update Date | 2016-05-05 |