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Organization
WESTSIDE ANESTHESIA CONSULTANTS, S.C.
Active
Organization
WESTSIDE ANESTHESIA CONSULTANTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY BENJAMIN WYGODNY M.D. (PRESIDENT)
(773) 593-4607
Entity
Organization
Contact information
Practice address
2128 W CORTEZ ST, CHICAGO, IL 60622-3601
(773) 593-4607
Mailing address
2128 W CORTEZ ST, CHICAGO, IL 60622-3601
(773) 593-4607
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
042616725
IL
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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