Provider Demographics
NPI:1841742475
Name:ZHOU, MINNIE CHERLIN (CRNA)
Entity Type:Individual
Prefix:MISS
First Name:MINNIE
Middle Name:CHERLIN
Last Name:ZHOU
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1740 W. TAYLOR STREET, 3200 W. U OF ILLINOIS HOSPITAL
Mailing Address - Street 2:DEPARTMENT OF ANESTHESIOLOGY, MC515
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612
Mailing Address - Country:US
Mailing Address - Phone:312-996-4022
Mailing Address - Fax:
Practice Address - Street 1:1740 W. TAYLOR STREET, 3200 W. U OF ILLINOIS HOSPITAL
Practice Address - Street 2:DEPARTMENT OF ANESTHESIOLOGY, MC515
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612
Practice Address - Country:US
Practice Address - Phone:312-996-4022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209015019367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered