# NEW LENOX ANESTHESIA LLC

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

## Provider details

- **NPI number:** 1093204778
- **Authorized official:** MIGUEL GONZALEZ (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (708) 499-5678

## Contact information

- **Practice address:** 678 CEDAR CROSSING DR, NEW LENOX, IL 60451
- **Practice address phone:** (708) 499-5678
- **Practice address fax:** (708) 499-5685
- **Mailing address:** 678 CEDAR CROSSING DR, NEW LENOX, IL 60451
- **Mailing address phone:** (708) 499-5678
- **Mailing address fax:** (708) 499-5685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/08/2018
- **Last updated:** 05/08/2018
