MARK E UNZICKER

URBANA, IL
NPI1881759967
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209000436)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: IN  28119666A)
Enumeration Date2006-12-27
Last Update Date2016-06-13
Business Address
-- MARK E UNZICKER CRNA
611 W. PARK ST. ANESTHESIOLOGY
URBANA, IL 61801
Phone number: 217-383-3141
Mailing Address
-- MARK E UNZICKER CRNA
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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