MICHAEL AGNICH

NEW LENOX, IL
NPI1922010933
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: IL  209-000590)
Enumeration Date2006-08-12
Last Update Date2015-04-30
Business Address
-- MICHAEL AGNICH CRNA
1210 CROWN FOX LN
NEW LENOX, IL 60451-1205
Phone number: 815-320-3086
Mailing Address
-- MICHAEL AGNICH CRNA
PO BOX 367
FRANKFORT, IL 60423-0367
Phone number: 815-320-3086
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