Individual
MISS MAI ULZIIBAYAR WILHOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1302 FRANKLIN AVE, NORMAL, IL 61761-3551
(309) 268-5867
Mailing address
1302 FRANKLIN AVE, NORMAL, IL 61761-3551
(309) 268-5867
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209008995
IL
367500000X
Certified Registered Nurse Anesthetist
209008995
IL
Other
Enumeration date
07/25/2011
Last updated
03/05/2024
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