Individual
HYDER I MIRZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, CRNA
Contact information
Practice address
1100 E NORRIS DR, OTTAWA, IL 61350-1604
(815) 433-3100
Mailing address
1100 E NORRIS DR, OTTAWA, IL 61350-1604
(815) 433-3100
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041.529930
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209032471
IL
Other
Enumeration date
09/07/2023
Last updated
06/12/2025
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