Individual
CONNOR PROKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
530 N CASS AVE, WESTMONT, IL 60559-1503
(630) 968-1800
Mailing address
9145 COLLECTION CENTER DR, CHICAGO, IL 60693-0001
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041427958
IL
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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