Doctor Name: | MISS CHRISTINE MARY PACOCHA |
NPI Number: | 1528248945 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNA |
License Number: | |
Business Practice Address: | 2210 Dean St St Charles, IL - 601751066 |
Business Phone Number: | 6305849800 |
Business Fax Number: | 6305849805 |
Mailing Address: | 1115 Wintergreen Ter, BATAVIA |
State: | IL |
Postal Code: | 605103261 |
Phone Number: | 6304069257 |
Fax Number: | |
NPI Enumeration Date: | 11/14/2007 |
NPI Last Update Date: | 11/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |