Individual
MR. SEGUN SADIQUE SHONIBARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA, MS
Contact information
Practice address
1325 N HIGHLAND AVE, ANESTHESIA DEPT, AURORA, IL 60506-1449
(630) 859-2222
Mailing address
400 E 33RD ST, APT# 2005, CHICAGO, IL 60616-4055
(773) 263-4812
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209007761
IL
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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