Individual
TIMA A TITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CRNA
Contact information
Practice address
2650 RIDGE AVE, DEPARTMENT OF ANESTHESIA, EVANSTON, IL 60201-1718
(847) 570-2760
(847) 570-2921
Mailing address
2650 RIDGE AVE, DEPARTMENT OF ANESTHESIA, EVANSTON, IL 60201-1718
(847) 570-2760
(847) 570-2921
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041458538
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209029704
IL
Other
Enumeration date
03/07/2024
Last updated
05/29/2024
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