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Individual

CHELSI E AL-KHENAIZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
8600 STATE ROUTE 91 STE 250, PEORIA, IL 61615-7831
(309) 692-5393
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2529
(217) 383-6941

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209015862
IL

Other

Enumeration date
04/14/2017
Last updated
09/06/2019
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