JIA DONG

MATTOON, IL
NPI1801420559
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209.020980)
Enumeration Date2020-03-02
Last Update Date2022-05-19
Business Address
Mr. JIA DONG CRNA/DNP
1000 HEALTH CENTER DR
MATTOON, IL 61938-4644
Phone number: 217-258-2440
Mailing Address
Mr. JIA DONG CRNA/DNP
1005 HEALTH CENTER DR STE 201
MATTOON, IL 61938-4653
Phone number:
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