# SOUTHEAST ANESTHESIA CONSULTANTS LTD

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

## Provider details

- **NPI number:** 1669417440
- **Authorized official:** RICHARD STEPHENSON MD (PRESIDENT)
- **Authorized official phone:** (773) 333-5990

## Contact information

- **Practice address:** 2320 E 93RD ST, CHICAGO, IL 60617-3983
- **Practice address phone:** (773) 967-2000
- **Mailing address:** PO BOX 4096, CAROL STREAM, IL 60197-4096
- **Mailing address phone:** (847) 615-2200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 10/29/2007