Organization
DPC CRNA GROUP, LTD.
Active
Parent organization
DANVILLE POLYCLINIC, LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
DANVILLE POLYCLINIC, LTD
Authorized official
LEAH WARREN (BUSINESS MANAGER)
(217) 477-4794
Entity
Organization
Contact information
Practice address
707 N LOGAN AVE, DANVILLE, IL 61832-4360
(217) 477-4794
Mailing address
707 N LOGAN AVE, DANVILLE, IL 61832-4360
(217) 477-4794
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
03/14/2019
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