Aegis Ambulatory Anesthesia, Ltd

NPI 1104198647 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1104198647
Enumeration Date 01/30/2012
Last Updated 04/04/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MICHAEL MICHAEL
Position AUTHORIZED OFFICIAL
Phone (708) 429-0222
Fax
Practice Location
6701 WEST 159TH STREET
TINLEY PARK IL, 60477-1758, US
Phone (708) 429-0222
Fax
Business Location
255 W MICHIGAN AVE
PO BOX 1123
JACKSON MI, 49201-2218, US
Phone (800) 242-1131
Fax
Toxanomy
Taxonomy Code 367500000X
License State
License Number
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According to our database, Aegis Ambulatory Anesthesia, Ltd NPI is 1104198647, taxonomy code is 367500000X Aegis Ambulatory Anesthesia, Ltd physically located at 6701 West 159th Street, Tinley Park IL, 60477-1758. NPI Number 1033115704 has the healthcare provider type.

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1104198647 NPI number is provided on an as is basis without warranty of any kind. 1104198647 is maintained by the National Plan & Provider Enumeration System. The contents of Aegis Ambulatory Anesthesia, Ltd are for informational purposes only.