Individual
BRIA CIGANOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(618) 549-0721
Mailing address
581 HEIPLE HILL RD, GORHAM, IL 62940-2258
(618) 559-5081
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.469206
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.031542
IL
Other
Enumeration date
12/18/2024
Last updated
02/24/2025
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