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Organization
SENTINEL ANESTHESIA OF ILLINOIS, PC
Active
Organization
SENTINEL ANESTHESIA OF ILLINOIS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD CLARK CRNA (OWNER)
(800) 444-6110
Entity
Organization
Contact information
Practice address
7340 W COLLEGE DR FL 1, PALOS HEIGHTS, IL 60463
(708) 361-3233
Mailing address
PO BOX 570, LAKE FOREST, IL 60045-0570
(800) 444-6110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/13/2018
Last updated
07/26/2018
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