Individual
VINCENT COTY COMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
8 DOCTORS PARK RD, MOUNT VERNON, IL 62864-6224
(618) 244-5500
Mailing address
7628 N NASON LN, MOUNT VERNON, IL 62864-6503
(618) 214-9787
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209019524
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214881
MULTISPECIALTY GROUP PTAN
IL
Enumeration date
06/17/2019
Last updated
07/19/2021
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