Individual
MRS. EMILY T PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
CANCER TREATMENT CENTERS OF AMERICA, 2520 ELISHA AVENUE, ZION, IL 60099
(800) 322-9183
Mailing address
CANCER TREATMENT CENTERS OF AMERICA, 2361 PAYSPHERE CIRCLE, CHICAGO, IL 60674
(800) 322-9183
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041373674
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209.010199
IL
Other
Enumeration date
07/26/2012
Last updated
02/21/2020
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