Individual
MRS. MARY SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1400 W PARK ST, URBANA, IL 61801
(217) 337-2000
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041362764
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209011287
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209011287
—
IL
Enumeration date
02/18/2014
Last updated
11/12/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us