Individual
CORINNE MICHELLE KANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9804 SAGE CT, BELVIDERE, IL 61008-8562
(847) 682-1029
Mailing address
9804 SAGE CT, BELVIDERE, IL 61008-8562
(847) 682-1029
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041363517
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209028242
IL
Other
Enumeration date
09/20/2021
Last updated
09/12/2023
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