Individual
MARY ANN HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
600 E 1ST ST, SPRING VALLEY, IL 61362-1512
(815) 664-5311
Mailing address
4910 35TH AVE, MOLINE, IL 61265-6654
(309) 912-8500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023186517
BUREAU VALLEY ANESTH GRP
IL
01
—
1972629509
NPI
IL
Enumeration date
03/22/2007
Last updated
07/08/2007
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