Jacksonville Crnas INC
NPI #1821302068 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1821302068
- Entity Type
- Organization
- Organization Name
- Jacksonville Crnas INC
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Jul 29, 2010
- Last Updated
- Jul 31, 2013
Practice Location
- Address
- 1600 W WALNUT ST
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-1136
- Phone
- (217) 245-9541
Authorized Official
- Name
- MR. DAVID A BOLEN
- Title
- VICE PRESIDENT & CFO
- Phone
- (217) 245-9541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
| Nurse Anesthetist, Certified Registered |
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