Search › Illinois › 367500000X
Roy Haynes, CRNA
NPI 1174636989 · on the registry since 2006
Practice
- Address
- 2200 Jacobssen Dr Ste B
Normal, IL 61761 - Phone
- (309) 451-1123
- Fax
- (309) 451-1212
- Organisation at this address
- Mid-Central Ill Gastro
Premier Medical Group, Llc
Gastrointestinal Institute, Llc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
367500000X - Licence states on file
- IL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois