Individual
MR. DENNIS JASIENIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4309 W MEDICAL CENTER DR STE A201, MCHENRY, IL 60050-8411
(815) 385-0084
(815) 385-8968
Mailing address
4309 W MEDICAL CENTER DR STE A201, MCHENRY, IL 60050-8411
(815) 385-0084
(815) 385-8968
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041-162868/209000222
IL
Other
Enumeration date
04/20/2006
Last updated
12/20/2013
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