Individual
MICHELLE OMOTAYO ALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
(305) 689-3990
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209027906
IL
367500000X
Certified Registered Nurse Anesthetist
ARNP9320468
FL
367500000X
Certified Registered Nurse Anesthetist
RN9320468
FL
Other
Enumeration date
02/26/2018
Last updated
08/15/2024
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