NPI: 1033644653 · WESTMONT, IL 60559 · Certified Registered Nurse Anesthetist · NPI assigned 04/21/2017
| Authorized Official | MARRI, RAGHU SHANTAN (OWNER) |
| NPI Enumeration Date | 04/21/2017 |
Other providers sharing the same authorized official: MARRI, RAGHU SHANTAN
| Provider | City | State | Total Paid |
|---|---|---|---|
| CROSSROADS ANESTHESIA LLC | WESTMONT | IL | $5K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 156 | $689.38 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 00731 | 156 | 110 | $689.38 |