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Organization
ST BERNARD HOSPITAL
Active
Organization
ST BERNARD HOSPITAL
Active
Other names
St. Bernard Anesthesia Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH VAN STRATEN (CEO)
(773) 962-4100
Entity
Organization
Contact information
Practice address
326 W 64TH ST, ST. BERNARD HOSPITAL - ANESTHESIA DEPARTMENT, CHICAGO, IL 60621-3114
(773) 962-4100
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
11/07/2006
Last updated
02/03/2010
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