Organization
HEARTLAND ANESTHESIA SERVICES, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE M HALL CRNA (PRESIDENT)
(217) 245-6515
Entity
Organization
Contact information
Practice address
120 EDLEN LN, JACKSONVILLE, IL 62650-5700
(217) 245-6515
Mailing address
120 EDLEN LN, JACKSONVILLE, IL 62650-5700
(217) 245-6515
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006032189
BCBS
IL
Enumeration date
07/09/2006
Last updated
10/06/2008
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