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NPI Code Detail

MEDICARE: ISABEL ROSE KOLENCHERRY DNAP, APRN-CRNA

MEDICARE: ISABEL ROSE KOLENCHERRY DNAP, APRN-CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist209034279IL

General Provider Information

NPI Number : 1154027712
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABEL ROSE KOLENCHERRY DNAP, APRN-CRNA
Provider Business Mailing Address
First Line : 251 E HURON ST STE 5-704
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2908
Country : US
Telephone Number : 312-695-5395
Fax Number : 312-695-9013
Provider Business Practice Location Address
First Line : 251 E HURON ST STE 5-704
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2908
Country : US
Telephone Number : 312-695-5395
Fax Number : 312-695-9013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2023
Last Update Date : 04/15/2026

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