NPI 1013293547

Jeremy Philip Carlsen, CRNA

Practitioner Certified Registered Nurse Anesthetist Chicago, IL

Practice location

Address: 251 E Huron St Feinberg 5-704, Chicago, IL 60611-2908
Phone: (312) 926-8369
Mailing address: 1262 W Pratt Blvd APT 3, Chicago, IL 60626-4382

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 041.356505 (IL)

Other Nurse Anesthetist, Certified Registered providers in Illinois →

Registry record

NPI: 1013293547
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2011
Record last updated: 28 Oct 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.