Crawford Avenue Anesthesia Provider Services Urbana, Llc

NPI 1134566615 - Anesthesiology - 207L00000X

NPI Details
NPI 1134566615
Enumeration Date 05/24/2013
Last Updated 06/19/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name RONALD RONALD
Position AUTHORIZED OFFICIAL
Phone (217) 337-2000
Fax
Practice Location
1400 W PARK ST
URBANA IL, 61801-2334, US
Phone (217) 337-2000
Fax
Business Location
PO BOX 1278
BEDFORD PARK IL, 60499-1278, US
Phone (217) 337-2000
Fax
Toxanomy
Taxonomy Code 207L00000X
License State
License Number
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According to our database, Crawford Avenue Anesthesia Provider Services Urbana, Llc NPI is 1134566615, taxonomy code is 207L00000X Crawford Avenue Anesthesia Provider Services Urbana, Llc physically located at 1400 W Park St, Urbana IL, 61801-2334. NPI Number 1033115704 has the healthcare provider type.

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1134566615 NPI number is provided on an as is basis without warranty of any kind. 1134566615 is maintained by the National Plan & Provider Enumeration System. The contents of Crawford Avenue Anesthesia Provider Services Urbana, Llc are for informational purposes only.