Organization
PROGRESSIVE ANESTHESIA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANXU LIU CRNA (OWNER)
(740) 707-6114
Entity
Organization
Contact information
Practice address
1921 S MICHIGAN AVE, CHICAGO, IL 60616-1603
(312) 414-1088
Mailing address
PO BOX 2655, IDAHO FALLS, ID 83403-2655
(208) 525-2090
(208) 523-8978
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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