Individual
TRISTAN ADRIATICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNAP
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3000
Mailing address
215 VINE ST APT 303, EVANSVILLE, IN 47708-1930
(562) 852-6540
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
151297
IN
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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