Individual
MRS. ELIZABETH ANDERSON STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 KISH HOSPITAL DRIVE, DEKALB, IL 60115-9602
(630) 936-4029
(630) 936-4032
Mailing address
1 KISH HOSPITAL DRIVE, DEKALB, IL 60115-9602
(630) 936-4029
(630) 936-4032
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041.384235
IL
367500000X
Certified Registered Nurse Anesthetist
209.384235
IL
367500000X
Certified Registered Nurse Anesthetist
RNA00048-G
RI
Other
Enumeration date
02/06/2009
Last updated
07/25/2012
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