# ANESTHESIA ASSOC OF NORTHEAST ILLINOIS

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

## Provider details

- **NPI number:** 1992795892
- **Authorized official:** FRANK J KNIFFEN M.D. (PRESIDENT)
- **Authorized official phone:** (708) 915-7318

## Contact information

- **Practice address:** 6701 159TH ST, INGALLS SAME DAY SURGERY, TINLEY PARK, IL 60477-1758
- **Practice address phone:** (708) 915-7318
- **Practice address fax:** (708) 429-0220
- **Mailing address:** PO BOX 100, MATTESON, IL 60443-0100
- **Mailing address phone:** (708) 747-5850
- **Mailing address fax:** (708) 747-9991

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2005
- **Last updated:** 11/25/2009