| NPI | 1760610893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG HOWARD HOLMES President 312-451-6465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2013-07-05 |