Individual
MICHAEL J HOURIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1201 RICKER RD, SALEM, IL 62881-4263
(618) 548-3194
(618) 548-1944
Mailing address
4621 CJ HECK RD, SALEM, IL 62881-3727
(618) 548-3031
(618) 548-0596
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041-134876
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209-000257
ADVANCED PRACTICE NURSE
IL
Enumeration date
04/05/2006
Last updated
10/24/2011
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