Jeremy Philip Carlsen CRNA

NPI 1013293547 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1013293547
Gender Male
Enumeration Date 10/28/2011
Last Updated 10/28/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
251 E HURON ST
FEINBERG 5-704
CHICAGO IL, 60611-2908, US
Phone (312) 926-8369
Fax
Business Location
1262 W PRATT BLVD
APT 3
CHICAGO IL, 60626-4382, US
Phone (847) 769-4836
Fax
Toxanomy
Taxonomy Code 367500000X
License State Illinois
License Number 041.356505
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According to our database, Mr. Jeremy Philip Carlsen CRNA NPI is 1013293547, taxonomy code is 367500000X and license number is 041.356505, license state is located at Illinois. Jeremy Philip Carlsen CRNA physically located at 251 E Huron St, Chicago IL, 60611-2908. NPI Number Jeremy Philip Carlsen CRNA has the Individual type.

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1013293547 NPI number is provided on an as is basis without warranty of any kind. 1013293547 is maintained by the National Plan & Provider Enumeration System. The contents of Jeremy Philip Carlsen CRNA are for informational purposes only.