Eye Surgery Center, Ltd.
Nurse Anesthetist, Certified Registered in Swansea, IL. Organization (NPI-2).
NPI number1902255342
StatusActive
Last updated in NPPESJun 7, 2016
Details
- NPI
- 1902255342
- Entity type
- Organization (NPI-2)
- Legal business name
- Eye Surgery Center, Ltd.
- Organization subpart
- No
- Enumeration date
- Jun 7, 2016
- Last updated
- Jun 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 7001316 | IL | Yes |
Practice location
3990 N Illinois StSwansea, IL 62226-1919
Phone 618-277-1130 · Fax 618-277-4917
Mailing address
3990 N Illinois StSwansea, IL 62226-1919
Phone 618-277-1130 · Fax 618-277-4917
Authorized official
Michael Paul Jones
President
6182771130
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