Individual
BREEDGE MICHELLE CAFFERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-CRNA
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-0100
Mailing address
3333 W 114TH ST, CHICAGO, IL 60655-2803
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209004962
IL
Other
Enumeration date
07/19/2006
Last updated
04/22/2021
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