NPI 1407061294

James Robert Conerty, RSA

Practitioner Surgical Technologist Bourbonnais, IL

Practice location

Address: 750 Almar Pkwy Suite 205, Bourbonnais, IL 60914-2315
Phone: (815) 933-3955
Fax: (815) 933-3944
Mailing address: 1372 Jeffery St, Bradley, IL 60915-2047

Registered specialties

Surgical Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246ZS0410X

Other Specialist/Technologist, Other providers in Illinois →

Registry record

NPI: 1407061294
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 May 2007
Record last updated: 8 Jul 2007

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.