Individual
MR. RICHARD ALAN HUMAN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2760
Mailing address
600 N FAIRBANKS CT UNIT 3604, CHICAGO, IL 60611-5870
(513) 330-0091
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.017131
IL
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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