Organization
TRICOUNTY ANESTHESIA ASSOCIATES, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE A. KRAY CRNA (PARTNER)
(630) 690-7582
Entity
Organization
Contact information
Practice address
219 N HAMMES AVE, JOLIET, IL 60435-8114
(815) 741-0095
Mailing address
955 W. DOWNER PLACE, MECS BILLING SERVICES, AURORA, IL 60506
(630) 897-6851
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
060-004994
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02215726
BCBS
IL
Enumeration date
12/10/2008
Last updated
12/10/2008
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