Most Relevant Information
Provider Data
| NPI Number: | 1003426974 |
| Provider Name: | VINCENT P CAGUNGUN RN |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 041.498060 |
Most Important Dates
| Enumeration Date: | 08/05/2020 |
| Last Updated: | 08/05/2020 |
Provider Practice Location
1000 HEALTH CENTER DR
MATTOON
IL
619384644
Practice Location Phone/Fax
| Phone: | 2172584006 |
| Fax: |
Provider Mailing Location
912 OAKCREST DR APT F
CHARLESTON
IL
619201780
Provider Mailing Phone/Fax
| Phone: | 8587223728 |
| Fax: |