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Individual

SUPRIYA NAIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3134 N CLARK ST, CHICAGO, IL 60657-4414
(312) 766-4949
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
116970
PA
367500000X
Certified Registered Nurse Anesthetist
9363221
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9363221
ARNP LIC
FL
Enumeration date
06/28/2017
Last updated
05/09/2023
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