Individual
HAROLD WHITWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
933 S HEAMAN ST, NASHVILLE, IL 62263-2041
(618) 327-8600
Mailing address
933 S HEAMAN ST, NASHVILLE, IL 62263-2041
(618) 327-8600
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
IL
Other
Enumeration date
12/21/2005
Last updated
07/08/2007
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