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Individual

MS. ESTHER R FEDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2202 HARLEM ROAD, LOVES PARK, IL 61111-2754
(815) 877-4848
(815) 654-5342
Mailing address
2202 HARLEM ROAD, LOVES PARK, IL 61111-2754
(815) 877-4848
(815) 654-5342

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041222417
IL
367500000X
Certified Registered Nurse Anesthetist
209-001963
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209001963
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P01455260
RAILROAD MEDICARE
Enumeration date
06/12/2006
Last updated
05/18/2017
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