Individual
PATRICK O'BRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-1000
(217) 544-6464
(217) 757-6537
Mailing address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-1000
(217) 544-6464
(217) 757-6537
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041437410
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209019547
IL
Other
Enumeration date
04/18/2019
Last updated
06/24/2019
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