Individual
JERMY FARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
Mailing address
203 S RIVERFRONT DR APT 213, JENKS, OK 74037-5677
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
145211
IL
Other
Enumeration date
07/17/2023
Last updated
08/08/2023
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