Individual
BERMON WREN REYES PUNZALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, CRNA
Contact information
Practice address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 344-5000
(815) 344-3347
Mailing address
4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
(815) 344-5000
(815) 344-3347
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95196322
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
209033305
IL
367500000X
Certified Registered Nurse Anesthetist
95002704
CA
Other
Enumeration date
06/26/2025
Last updated
02/06/2026
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