Individual
VINCENT J MILAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3249 OAK PARK AVE, ANESTHESIA DEPARTMENT, BERWYN, IL 60402
(708) 783-3667
Mailing address
3998 FAIR RIDGE DR, STE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209000249
IL
Other
Enumeration date
07/05/2006
Last updated
05/23/2018
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