Individual
TAYOH JONATHAN VALDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-4309
(217) 788-3000
Mailing address
701 N 1ST ST ANESTHESIA DEPARTMENT, SPRINGFIELD, IL 62781-0001
(217) 788-3000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024175735
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
209028326
IL
Other
Enumeration date
01/17/2018
Last updated
11/13/2023
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