Individual
JONATHAN SABO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN, RN, CCRN
Contact information
Practice address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2499
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041555931
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209029373
IL
390200000X
Student in an Organized Health Care Education/Training Program
RN706986
PA
Other
Enumeration date
01/18/2021
Last updated
06/26/2025
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