Organization
WINDY CITY ANESTHESIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BORVAN CRNA (OWNER)
(815) 462-8470
Entity
Organization
Contact information
Practice address
801 MEDICAL DR, WENTZVILLE, MO 63385-3824
(636) 327-3100
(815) 462-8471
Mailing address
21120 WASHINGTON PKWY, FRANKFORT, IL 60423-3112
(815) 462-8470
(815) 462-8471
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/26/2012
Last updated
06/26/2012
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