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Organization
AMC ANESTHESIA LTD
Active
Organization
AMC ANESTHESIA LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHANNA CHOOKASZIAN (PRESIDENT)
(773) 878-8200
Entity
Organization
Contact information
Practice address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 878-8200
Mailing address
35078 EAGLE WAY, CHICAGO, IL 60678-0001
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Enumeration date
07/18/2006
Last updated
10/29/2007
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