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NPI Code Detail

MEDICARE: MRS. NAKIA J MCADOO CRNA

MEDICARE: MRS. NAKIA J MCADOO 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 Anesthetist041-309158IL

General Provider Information

NPI Number : 1891787552
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NAKIA J MCADOO CRNA
Provider Business Mailing Address
First Line : 3537 PAYSPHERE CIR
Second Line :
City : CHICAGO
State : IL
Zip : 60674-0035
Country : US
Telephone Number : 708-786-2900
Fax Number :
Provider Business Practice Location Address
First Line : 155 E BRUSH HILL RD
Second Line :
City : ELMHURST
State : IL
Zip : 60126-5658
Country : US
Telephone Number : 331-221-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 05/12/2017

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