Souphaphone Bounmythavong Nicksic CRNA
Certified Registered Nurse Anesthetist
- Gender: Female
- Sole propriator: No
About Souphaphone Bounmythavong Nicksic
She is located at 1425 N Randall Rd, , in Elgin, IL 60123. Appointment can be made via the phone number (224) 783-1065.
Souphaphone Bounmythavong Nicksic - Address, Phone & Website
1425 N Randall Rd, , Elgin, IL 60123
(224) 783-1065
Medical Specialties & Taxonomy codes
| Primary | Specialty | Taxonomy Code |
|---|---|---|
| Yes | Certified Registered Nurse Anesthetist | 367500000X |
| No | Certified Registered Nurse Anesthetist | 367500000X |
Licenses
| State | License Number |
|---|---|
| Illinois | 209008677 |
| Indiana | 28181986A |