Provider Demographics
NPI:1750475877
Name:TONRY, DAVID CHARLES (CRNA)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:CHARLES
Last Name:TONRY
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
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Mailing Address - Street 1:820 WEST COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62650-2335
Mailing Address - Country:US
Mailing Address - Phone:217-245-5016
Mailing Address - Fax:217-479-5660
Practice Address - Street 1:1600 WEST WALNUT
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:IL
Practice Address - Zip Code:62650
Practice Address - Country:US
Practice Address - Phone:217-245-9541
Practice Address - Fax:217-479-5660
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL209002337367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered