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Organization
SMEMC ANESTHESIA LLC
Active
Organization
SMEMC ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE JENNINGS (CEO)
(630) 537-1720
Entity
Organization
Contact information
Practice address
2233 W DIVISION ST, CHICAGO, IL 60622-8151
(312) 770-2172
Mailing address
PO BOX 570, LAKE FOREST, IL 60045-0570
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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