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Organization
CRAWFORD AVENUE ANESTHESIA PROVIDER SERVICES URBANA, LLC
Active
Organization
CRAWFORD AVENUE ANESTHESIA PROVIDER SERVICES URBANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD HAYES M.D. (AUTHORIZED OFFICIAL)
(708) 326-1630
Entity
Organization
Contact information
Practice address
1400 W PARK ST, URBANA, IL 61801-2334
(217) 337-2000
Mailing address
PO BOX 1278, BEDFORD PARK, IL 60499-1278
(217) 337-2000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/24/2013
Last updated
06/19/2013
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