Individual
MS. PATRICIA J. COURTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3134 N CLARK ST, CHICAGO, IL 60657-4414
(773) 766-4949
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
041211482
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332548292001
—
IL
Enumeration date
08/03/2006
Last updated
04/20/2022
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