SAMUEL ORTEGA

MELROSE PARK, IL
NPI1760909287
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  041363873)
Enumeration Date2017-08-25
Last Update Date2017-08-25
Business Address
SAMUEL ORTEGA CRNA
701 W NORTH AVE
MELROSE PARK, IL 60160-1612
Phone number: 708-681-3200
Mailing Address
SAMUEL ORTEGA CRNA
6004 S MAJOR AVE
CHICAGO, IL 60638-4510
Phone number: 708-699-4403
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