Individual
MR. CHRISTOPHER R WHITLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
906 E GREGORY LANE, MARION, IL 62959
(618) 993-5327
Mailing address
906 E GREGORY LANE, MARION, IL 62959
(618) 993-5327
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209-000376
IL
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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