Individual
KATIE MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1500 S CALIFORNIA AVE, OS-251, CHICAGO, IL 60608
(773) 257-6850
Mailing address
6810 N ORIOLE AVE, CHICAGO, IL 60631-1134
(773) 425-9566
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209010917
IL
Other
Enumeration date
03/20/2015
Last updated
05/21/2021
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