Individual
NATHAN E. KIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1555 N. BARRINGTON ROAD, HOFFMAN ESTATES, IL 60169-1019
(847) 490-2923
Mailing address
2413 W ALGONQUIN RD, SUITE 608, ALGONQUIN, IL 60102-9402
(847) 462-9486
(847) 462-9493
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041375611
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041375611
STATE LICENSE
IL
Enumeration date
06/17/2009
Last updated
06/17/2009
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