Individual
AMBER D GOLEBIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-4000
Mailing address
PO BOX 570, LAKE FOREST, IL 60045-0570
(847) 615-2200
(847) 615-2858
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041391349
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209-010618
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041391349
STATE LICENSE
IL
01
—
93117
NBCRNA CERTIFICATION
IL
Enumeration date
08/21/2013
Last updated
07/09/2024
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