Individual
NATHAN BIRKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRRN
Contact information
Practice address
19627 S LA GRANGE RD, MOKENA, IL 60448-9360
(708) 326-1630
Mailing address
19627 S LA GRANGE RD, MOKENA, IL 60448-9360
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1409590
TN
163WC0200X
Critical Care Medicine Registered Nurse
41375825
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209013373
IL
Other
Enumeration date
06/15/2015
Last updated
09/25/2015
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