# BEACH ANESTHESIA, SC

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

## Provider details

- **NPI number:** 1760610893
- **Authorized official:** DR. DOUG HOWARD HOLMES MD (PRESIDENT)
- **Authorized official phone:** (312) 451-6465

## Contact information

- **Practice address:** 3725 W TOUHY AVE, LINCOLNWOOD, IL 60712-2603
- **Practice address phone:** (847) 324-7770
- **Mailing address:** 2020 N LINCOLN PARK W, \#16M, CHICAGO, IL 60614-4780
- **Mailing address phone:** (312) 451-6465

## Taxonomy

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