Individual
ISRAEL GARLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-1000
Mailing address
175 BLUXOME ST UNIT 230, SAN FRANCISCO, CA 94107-1552
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041418021
IL
163W00000X
Registered Nurse
774219
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
209011259
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36-2177139
—
IL
Enumeration date
01/15/2014
Last updated
01/03/2022
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