Individual
SHIJI YOHANNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5841 S MARYLAND AVE # MC4028, CHICAGO, IL 60637-1447
(773) 702-6700
Mailing address
3 WILDRIDGE CT, COLLINSVILLE, IL 62234-6870
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209008067
IL
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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