Epix Anesthesia of Central Illinois LLC
NPI #1487081436 in Blue Island, Illinois
Provider Information
- NPI Number
- 1487081436
- Entity Type
- Organization
- Organization Name
- Epix Anesthesia of Central Illinois LLC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Oct 7, 2013
- Last Updated
- Jun 24, 2020
Practice Location
- Address
- 12935 GREGORY ST
- City
- Blue Island
- State
- Illinois
- ZIP Code
- 60406-2428
- Phone
- (678) 580-1349
Authorized Official
- Name
- DR. JOSEPH PRUITT, M.D.
- Title
- OWNER
- Phone
- (678) 580-1349
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
| Nurse Anesthetist, Certified Registered |
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