# CCAA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cook County Anesthesia Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528579000
- **Authorized official:** MR. JONATHAN CULP (VICE PRESIDENT)
- **Authorized official phone:** (513) 509-8478

## Contact information

- **Practice address:** 9843 GROSS POINT RD, SKOKIE, IL 60076-1145
- **Practice address phone:** (847) 674-4646
- **Mailing address:** 313 ALEXANDER CT, COPLEY, OH 44321-3400

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2017
- **Last updated:** 10/24/2017