SOUPHAPHONE NICKSIC, CRNA

Nurse Anesthetist, Certified Registered

Active Individual
NPI: 1740425701

Practice Address

1425 N RANDALL RD
Elgin, IL 60123

Phone: (224) 783-1065

Specialties

Specialty Code Primary License
Nurse Anesthetist, Certified Registered 367500000X Yes 209008677 (IL)

Frequently Asked Questions

NPI 1740425701 is the National Provider Identifier for SOUPHAPHONE NICKSIC, CRNA, a Nurse Anesthetist, Certified Registered provider located in Elgin, IL. This NPI was enumerated on December 4, 2008.
SOUPHAPHONE NICKSIC, CRNA practices at 1425 N RANDALL RD, Elgin, IL 60123.

Quick Facts

NPI
1740425701
Type
Individual
Enumerated
Dec 4, 2008
Last Updated
Aug 30, 2023

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