Individual
MISS HOLLI RENEE MADEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
465 HIRSCH AVE, CALUMET CITY, IL 60409-2530
(708) 832-9548
Mailing address
465 HIRSCH AVE, CALUMET CITY, IL 60409-2530
(708) 832-9548
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209006342
IL
Other
Enumeration date
01/09/2007
Last updated
08/04/2015
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