Individual
FLORDELINA B CORPUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
850 W IRVING PARK RD, CHICAGO, IL 60613-3077
(773) 975-6705
Mailing address
1770 1ST ST, SUITE 703, HIGHLAND PARK, IL 60035-3200
(847) 433-1539
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209000617
IL
Other
Enumeration date
12/03/2007
Last updated
04/23/2008
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