Individual
THERESE A BUGAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CRNA
Contact information
Practice address
18221 TORRENCE AVE, SUITE 1-D, LANSING, IL 60438-2870
(708) 895-9450
(847) 895-9455
Mailing address
1174 OAK KNOLL DR, LAKE FOREST, IL 60045-3648
(847) 234-0045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-144120
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209000530
IL
Other
Enumeration date
07/04/2005
Last updated
11/01/2024
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