Individual
JUDITH CASSANDRA WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1653 W CONGRESS PKWY, DEPATMENT OF ANESTHESIOLOGY, 7 JELKE, CHICAGO, IL 60612-3833
(312) 942-6504
(312) 942-8858
Mailing address
1653 W CONGRESS PKWY, DEPATMENT OF ANESTHESIOLOGY, 7 JELKE, CHICAGO, IL 60612-3833
(312) 942-6504
(312) 942-8858
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041-222776
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209-000218
IL
367500000X
Certified Registered Nurse Anesthetist
262632
MT
Other
Enumeration date
09/07/2007
Last updated
09/04/2025
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