AURORA PROFESSIONAL ANESTHESIA SERVICE
Nursing at Richfield Ct, Downers Grove, IL

License number
Illinois 209003966
Category
Nursing
Type
Nurse Anesthetist, Certified Registered
Owner
Name: WAYNE LOEK CRNA
Title: PRESIDENT
Phone: (630) 910-0753
Address
Address
1228 Richfield Ct, Downers Grove, IL 60517
National Provider ID: 1558495598
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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AURORA PROFESSIONAL ANESTHESIA SERVICE, PC

Woodridge, IL 60517

Registration:
Jan 21, 1988
State ID:
54938969
Business type:
DOMESTIC BCA
Expiration:
PERPETUAL
Agent:
Thomas Cresap Swigert,505 Chicago Ave, Evanston, IL 60202 (Physical)

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