Organization
MOBILE ANESTHESIOLOGISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KINGA AGATA RYDEL (RN)
(847) 269-6688
Entity
Organization
Contact information
Practice address
1839 W LOCUST LN, MOUNT PROSPECT, IL 60056-4405
(847) 269-6688
Mailing address
1839 W LOCUST LN, MOUNT PROSPECT, IL 60056-4405
(847) 269-6688
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
041359374
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041.359374
RN
IL
Enumeration date
05/25/2012
Last updated
05/25/2012
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