# OLR ANESTHESIA LLC

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

## Provider details

- **NPI number:** 1811331069
- **Authorized official:** MICHAEL JENNINGS (CFO)
- **Authorized official phone:** (630) 537-1720

## Contact information

- **Practice address:** 5645 W ADDISON ST, CHICAGO, IL 60634-4403
- **Practice address phone:** (773) 282-7000
- **Practice address fax:** (773) 792-5162
- **Mailing address:** 925 SHERWOOD DR, LAKE BLUFF, IL 60044-2203
- **Mailing address phone:** (847) 615-2200
- **Mailing address fax:** (888) 735-8731

## Taxonomy

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

## Other

- **Enumeration date:** 04/18/2013
- **Last updated:** 04/18/2013