Individual
LENNY OLIVARES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9301 CONNECTICUT DRIVE, CROWN POINT, IN 46307-7486
(219) 756-2100
Mailing address
14518 ABBOTT ROAD EAST, HOMER GLEN, IL 60491-9227
(312) 371-8129
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
077125
IL
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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