Premium Anesthesia Group

NPI #1356090526 in Westmont, Illinois

Provider Information

NPI Number
1356090526
Entity Type
Organization
Organization Name
Premium Anesthesia Group
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Mar 23, 2022
Last Updated
Mar 24, 2022

Practice Location

Address
700 PASQUINELLI DR
ZIP Code
60559-1382
Phone
(630) 323-8690

Authorized Official

Name
SHARI JORDAN, CRNA
Title
NURSE ANESTHESIST
Phone
(630) 862-9756

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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