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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EBONEE MONIQUE BLAKE, APRN, CRNA

Active Sole Proprietor

EBONEE MONIQUE BLAKE, APRN, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in WINFIELD, Illinois. NPI 1083356745 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · WINFIELD, IL

Registration Details

NPI Number
1083356745
Provider Type
Individual
Gender
Female
NPI Issued
Apr 12, 2022 (4.2981137156173 yrs)
Last Updated
Jul 16, 2024
Licenses
041422578 (IL)
209025731 (IL)
Sole Proprietor
Yes

Practice Information

Address
25 N WINFIELD RD
WINFIELD, IL, 601901379
Browse IL providers · Browse ZIP 60190
Phone
6309336675
Fax
6309332614
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in WINFIELD, IL

Name Credential NPI
FOLARIN O ODUEYUNGBO APRN, CRNA 1932157294
DAVID R ROOZEBOOM APRN, CRNA 1861443947
AMY V SPARGUR CRNA 1447283833
MS. AMY K. TAX CRNA 1386757565
LIANE M BERTOIA CRNA 1154423465
JOELLEN CARROLL APRN, CRNA 1437209640
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.