Organization
WHITE ANESTHESIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY TIJUNELIS CRNA (PRESIDENT)
(224) 234-8677
Entity
Organization
Contact information
Practice address
2108 KENTON LN, LIBERTYVILLE, IL 60048-1500
(224) 234-8677
Mailing address
2108 KENTON LN, LIBERTYVILLE, IL 60048-1500
(224) 234-8677
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
02/18/2008
Last updated
02/18/2008
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