Individual
AUDREY A LESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 W NORTH AVE, MELROSE PARK, IL 60160-1612
(708) 681-3200
Mailing address
1121 LAKE COOK RD STE M, DEERFIELD, IL 60015-5234
(847) 245-4147
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041392169
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209013094
IL
Other
Enumeration date
07/08/2015
Last updated
08/18/2015
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