Decelle Jewel Manuel Enriquez, APRN, CRNA
Nurse Anesthetist, Certified Registered in Chicago, IL. Individual provider (NPI-1).
NPI number1194352286
StatusActive
Last updated in NPPESDec 21, 2023
Details
- NPI
- 1194352286
- Entity type
- Individual (NPI-1)
- Name
- Ms. Decelle Jewel Manuel Enriquez
- Credential
- APRN, CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2020
- Certification date
- Dec 21, 2023
- Last updated
- Dec 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 209021466 | IL | Yes |
Practice location
251 E Huron St Ste F5-704Chicago, IL 60611-2908
Phone 608-322-4951
Mailing address
251 E Huron St Ste 5-704Chicago, IL 60611-2908
Phone 312-695-0061 · Fax 312-695-9013
Other practice locations
3134 N Clark St
Chicago, IL 60657-4414
Chicago, IL 60657-4414
Phone 773-766-4949
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