Individual
PHYLLIS WUBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
19627 LA GRANGE RD, ATTENTION: SOUTHWEST ANESTHESIA CONSULTANTS, MOKENA, IL 60448-9360
(708) 326-1630
(708) 326-1671
Mailing address
19627 LAGRANGE ROAD, ATTENTION: SOUTHWEST ANESTHESIA CONSULTANTS, MOKENA, IL 60448
(708) 326-1630
(708) 326-1671
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209-002368
IL
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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