Individual
MRS. VANESSA STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
155 E BRUSH HILL RD, ELMHURST, IL 60126-5658
(331) 221-1000
Mailing address
1117 OGDEN AVE, WESTERN SPRINGS, IL 60558-1129
(219) 741-8224
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209007961
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209007961
STATE LICENSE
IL
Enumeration date
12/31/2009
Last updated
09/20/2024
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