Individual
SUSAN RETTIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
600 S 13TH ST, PEKIN, IL 61554-4936
(309) 353-0406
(309) 347-1240
Mailing address
346 E ELLER DR, EAST PEORIA, IL 61611-5417
(309) 282-6417
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
IL
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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