Individual
PHARES MONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3701 DOTY RD, WOODSTOCK, IL 60098-7509
(815) 343-3170
(630) 874-2642
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 960-9222
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209011387
IL
Other
Enumeration date
04/16/2014
Last updated
12/17/2025
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