Individual
RENIE ARIELLE TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1900 SILVER CROSS BLVD, NEW LENOX, IL 60451-9509
(815) 300-7097
(815) 300-3567
Mailing address
229 SARATOGA LN, ROMEOVILLE, IL 60446-5030
(815) 514-8021
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209026126
IL
Other
Enumeration date
10/11/2022
Last updated
08/28/2024
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