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Mr. MICHAEL T ABACA CRNA

Individual Provider (NPI-1) Active

Nurse Anesthetist, Certified Registered

Provider Information

NPI Number
1457373706
Provider Type
Individual Provider (NPI-1)
Credentials
CRNA
Status
Active

Contact & Location

Address
1800 E LAKE SHORE DR, DECATUR, IL, 625213810
Phone
(217) 464-2966

Specialties & Taxonomies

Nurse Anesthetist, Certified Registered Primary License: IL #209006213

All Addresses

LOCATION

1800 E LAKE SHORE DR

DECATUR, IL, 625213810

(217) 464-2966

MAILING

611 W. PARK ST. BWPC

URBANA, IL, 618012500

(217) 383-6941