# GREATER CHICAGO ANESTHESIA LLC

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

## Provider details

- **NPI number:** 1174142251
- **Authorized official:** RYAN ROSENTHAL MD (OWNER)
- **Authorized official phone:** (312) 933-4149

## Contact information

- **Practice address:** 2937 W 63RD ST, CHICAGO, IL 60629-2753
- **Practice address phone:** (773) 309-0141
- **Mailing address:** PO BOX 486, LAKE FOREST, IL 60045-0486
- **Mailing address phone:** (847) 457-3800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/09/2020
- **Last updated:** 04/09/2020