# UNIVERSITY ANESTHESIOLOGISTS SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073558136
- **Authorized official:** DR. KENNETH TUMAN MD (PRESIDENT)
- **Authorized official phone:** (312) 942-3135

## Contact information

- **Practice address:** 1653 W CONGRESS PKWY, 735 JELKE ANESTHESIA DEPT., CHICAGO, IL 60612-3833
- **Practice address phone:** (312) 942-6504
- **Practice address fax:** (312) 942-5773
- **Mailing address:** 1653 W CONGRESS PKWY, 735 JELKE ANESTHESIA DEPT., CHICAGO, IL 60612-3833
- **Mailing address phone:** (312) 942-6504
- **Mailing address fax:** (312) 942-5773

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 103TC0700X | Clinical Psychologist | — | NULL | — |
| 103TC0700X | Clinical Psychologist | — | — | — |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | IL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 01/02/2015