NPI 1518556786

Abdulmateen Qaisar, CRNA

Practitioner Certified Registered Nurse Anesthetist Rockford, IL

Practice location

Address: 5666 E State St, Rockford, IL 61108-2425
Phone: (516) 945-3347
Mailing address: 8620 Lyons St, Des Plaines, IL 60016-3971

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 209022655 (IL)

Other Nurse Anesthetist, Certified Registered providers in Illinois →

Registry record

NPI: 1518556786
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jan 2021
Record last updated: 5 Jul 2023

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.