Individual provider · NPI-1

Olivia R. Barkocy

Nurse Anesthetist, Certified Registered · Evanston, IL

NPI number1053159079
StatusActive
Last updated in NPPESDec 2, 2024

Details

NPI
1053159079
Entity type
Individual (NPI-1)
Name
Olivia R. Barkocy
Sex
Female
Sole proprietor
No
Enumeration date
Jul 15, 2024
Certification date
Dec 2, 2024
Last updated
Dec 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered209030934ILYes
163W00000X Registered Nurse041468274IL

Practice location

2650 Ridge Ave
Evanston, IL 60201-1700

Phone 847-982-3362

Mailing address

2650 Ridge Ave # 1223
Evanston, IL 60201-1700

Phone 847-982-3362

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