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
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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