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Organization
CCAA LLC
Active
Organization
CCAA LLC
Active
Other names
Cook County Anesthesia Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN CULP (VICE PRESIDENT)
(513) 509-8478
Entity
Organization
Contact information
Practice address
9843 GROSS POINT RD, SKOKIE, IL 60076-1145
(847) 674-4646
Mailing address
313 ALEXANDER CT, COPLEY, OH 44321-3400
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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