Suburban Anesthesiologists, Sc

NPI 1194767392 - Anesthesiology - 207L00000X

NPI Details
NPI 1194767392
Enumeration Date 06/12/2006
Last Updated 09/19/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROBERT ROBERT
Position AUTHORISE REPRESENTATIVE
Phone (708) 352-1200
Fax
Practice Location
5101 WILLOW SPRINGS RD
LA GRANGE IL, 60525-2600, US
Phone (708) 352-1200
Fax
Business Location
255 W MICHIGAN AVE
JACKSON MI, 49201-2218, US
Phone (517) 787-6440
Fax (517) 787-4146
Toxanomy
Taxonomy Code 207L00000X
License State
License Number
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According to our database, Suburban Anesthesiologists, Sc NPI is 1194767392, taxonomy code is 207L00000X Suburban Anesthesiologists, Sc physically located at 5101 Willow Springs Rd, La Grange IL, 60525-2600. NPI Number 1033115704 has the healthcare provider type.

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1194767392 NPI number is provided on an as is basis without warranty of any kind. 1194767392 is maintained by the National Plan & Provider Enumeration System. The contents of Suburban Anesthesiologists, Sc are for informational purposes only.