Individual
COLIN WILLIAM HUSTED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1431 N CLAREMONT AVE, CHICAGO, IL 60622-1702
(773) 278-2000
Mailing address
6343 N 52ND ST, MANHATTAN, KS 66503-9720
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041.429403
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209019311
IL
367500000X
Certified Registered Nurse Anesthetist
7117
NC
Other
Enumeration date
12/18/2018
Last updated
11/20/2023
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