# DIVISION ANESTHESIA GROUP PC

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

## Provider details

- **NPI number:** 1437151057
- **Authorized official:** EUN KYUNG KIM M.D. (CHAIRMAN)
- **Authorized official phone:** (312) 770-2000

## Contact information

- **Practice address:** 2233 W DIVISION ST, ST. MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPARTMENT, CHICAGO, IL 60622-3043
- **Practice address phone:** (312) 770-2000
- **Mailing address:** 520 E 22ND ST, LOMBARD, IL 60148-6110
- **Mailing address phone:** (630) 874-2542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 08/12/2005
- **Last updated:** 07/16/2007