Individual
HAILE E FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA, APRN
Contact information
Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 759-4178
Mailing address
658 SHAKESPEARE DR, GRAYSLAKE, IL 60030-3372
(815) 451-1127
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
128332
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209-021405
IL
Other
Enumeration date
04/07/2020
Last updated
12/21/2023
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