Individual
LILY CHERNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1225 W LAKE ST, MELROSE PARK, IL 60160-4039
(708) 681-3000
Mailing address
3998 FAIR RIDGE DR, STE 300, FAIRFAX, VA 22033-2921
(703) 293-9590
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-303675
IL
163W00000X
Registered Nurse
152739-030
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
209005358
IL
Other
Enumeration date
04/14/2006
Last updated
04/14/2015
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