Whalio Doctors

NPI 1487061636

Sergey Revega, CRNA

Practitioner Anesthesiologist Assistant Urbana, IL

Practice location

Address
611 W. Park St. Anesthesiology, Urbana, IL 61801-2500
Phone
(217) 383-3303
Fax
(217) 383-3265
Mailing address
611 W. Park St. Bwpc, Urbana, IL 61801-2500

Registered specialties (2)

Anesthesiologist Assistant Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367H00000X Licence 2090121874 (IL)
Certified Registered Nurse Anesthetist
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence ARNP9296749 (FL)

Registry record

NPI
1487061636
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Jul 2014
Record last updated
8 Jan 2015

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.