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Organization
BEACH ANESTHESIA, SC
Active
Organization
BEACH ANESTHESIA, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUG HOWARD HOLMES MD (PRESIDENT)
(312) 451-6465
Entity
Organization
Contact information
Practice address
3725 W TOUHY AVE, LINCOLNWOOD, IL 60712-2603
(847) 324-7770
Mailing address
2020 N LINCOLN PARK W, #16M, CHICAGO, IL 60614-4780
(312) 451-6465
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
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/26/2009
Last updated
07/05/2013
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