Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1912009887
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
OSF Saint Paul Medical Center, 1401, East 12th Street, Mendota, Mendota Township, LaSalle County, Illinois, 61342, United States
MENDOTA, IL 613429216
Phone: (815) 539-7461
Fax: (815) 539-1461
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61342)
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