Organization
BRIDGFORD NURSE ANESTHESIA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY L BRIDGFORD CRNA (PRESIDENT)
(630) 414-3108
Entity
Organization
Contact information
Practice address
1130 S MICHIGAN AVE, #3709, CHICAGO, IL 60605-2521
(630) 414-3108
(630) 225-5207
Mailing address
1130 S MICHIGAN AVE, #3709, CHICAGO, IL 60605-2521
(630) 414-3108
(630) 225-5207
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
79515
IL
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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