Individual
KENNETH C MADLANGBAYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-2210
(847) 723-3532
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
110938
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
209-032036
IL
Other
Enumeration date
05/11/2016
Last updated
07/07/2025
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