# LOGAN SQUARE ANESTHESIA PC

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

## Provider details

- **NPI number:** 1629194113
- **Authorized official:** DR. RAMON ANDRES GARCIA MD (PRESIDENT)
- **Authorized official phone:** (773) 772-1212

## Contact information

- **Practice address:** 3538 W FULLERTON AVE, CHICAGO, IL 60647-2443
- **Practice address phone:** (773) 772-1212
- **Practice address fax:** (773) 772-8666
- **Mailing address:** PO BOX 249, WINNETKA, IL 60093-0249
- **Mailing address phone:** (773) 772-1212
- **Mailing address fax:** (773) 772-8666

## Taxonomy

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

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 08/22/2020