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Organization
MID AMERICA ANESTHESIA LLC
Active
Organization
MID AMERICA ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NARAYANARAO RAVISHANKAR M.D (MEMBER)
(630) 926-3096
Entity
Organization
Contact information
Practice address
3101 N HARLEM AVE, CHICAGO, IL 60634-4532
(773) 889-2000
Mailing address
912 SAINT STEPHENS GRN, OAK BROOK, IL 60523-2568
(630) 926-3096
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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