Individual
EDUARDO ORNELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23230 S FORD RD, MINOOKA, IL 60447-9210
(815) 981-0175
Mailing address
3514 MUSTANG RD, JOLIET, IL 60435-8761
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041444563
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209025338
IL
Other
Enumeration date
02/08/2021
Last updated
08/02/2022
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