Individual
CAROLYN ELIZABETH OTTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 695-9013
Mailing address
3766 N LAKEWOOD AVE, 1N, CHICAGO, IL 60613-3716
(917) 842-1422
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209007148
IL
Other
Enumeration date
07/21/2008
Last updated
01/23/2017
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