Individual
DR. PAULINE KENNETH BORJA TSELONIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-6462
Mailing address
6660 W WOOD RIVER DR APT 211, NILES, IL 60714-3367
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041363309
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209016992
IL
Other
Enumeration date
09/07/2017
Last updated
05/19/2023
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