Individual
CHARLES V LOZADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1301 W 22ND ST, SUITE 610, OAK BROOK, IL 60523-2006
(630) 537-1720
(773) 326-3518
Mailing address
1034 MIDWAY RD, NORTHBROOK, IL 60062-3936
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209013467
IL
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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