# PARK ANESTHESIA, LLC

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

## Provider details

- **NPI number:** 1649457334
- **Authorized official:** BAROUKH LEVI MD (PRESIDENT)
- **Authorized official phone:** (219) 934-5300

## Contact information

- **Practice address:** 151 DUNDEE AVE, EAST DUNDEE, IL 60118-1648
- **Practice address phone:** (847) 551-9601
- **Mailing address:** 541 OTIS BOWEN DR, MUNSTER, IN 46321-4158
- **Mailing address phone:** (219) 934-5300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 01/25/2008
- **Last updated:** 01/25/2008