MICHAEL AGNICH

NEW LENOX, IL
NPI1922010933
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209000590)
Additional Taxonomies207L00000X Anesthesiology
(Licence: IL  209-000590)
Enumeration Date2006-08-12
Last Update Date2024-12-05
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