Individual
SAWYER CALEB HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
701 W NORTH AVE, MELROSE PARK, IL 60160-1612
(708) 681-3200
Mailing address
730 N MILWAUKEE AVE APT 1805, CHICAGO, IL 60642-6032
(641) 856-7288
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041461580
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209025584
IL
Other
Enumeration date
02/21/2022
Last updated
12/09/2022
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