Individual
KYLE MATUSZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6617 EICH DR, JOLIET, IL 60431-5202
(815) 263-3113
Mailing address
6617 EICH DR, JOLIET, IL 60431-5202
(815) 263-3113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041443436
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209029943
IL
Other
Enumeration date
08/26/2022
Last updated
08/27/2024
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