# MN ANESTHESIA LLC

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

## Provider details

- **NPI number:** 1245275726
- **Authorized official:** DONALD HARKESS (CFO)
- **Authorized official phone:** (847) 433-1539

## Contact information

- **Practice address:** 3249 OAK PARK AVE, BERWYN, IL 60402
- **Practice address phone:** (708) 783-9100
- **Practice address fax:** (708) 783-2452
- **Mailing address:** 5983 PAYSPHERE CIR, CHICAGO, IL 60674
- **Mailing address phone:** (708) 783-2436
- **Mailing address fax:** (708) 783-2452

## Taxonomy

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

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 05/30/2008