Individual
JANICE MARIE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
120 EDLEN LN, JACKSONVILLE, IL 62650-5700
(217) 245-6041
Mailing address
120 EDLEN LN, JACKSONVILLE, IL 62650-5700
(217) 245-6041
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209000981
IL
Other
Enumeration date
04/05/2006
Last updated
05/18/2011
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