Organization
GOTTLIEB MIDWEST ANESTHESIOLOGISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD S KONOWITZ MD (MANAGING PARTNER)
(847) 921-9733
Entity
Organization
Contact information
Practice address
701 WEST NORTH AVENUE, MELROSE PARK, IL 60160-1612
(708) 681-3202
Mailing address
1121 LAKE COOK ROAD, SUITE M, DEERFIELD, IL 60015-5234
(847) 945-4550
(847) 948-8103
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4923596
BCBSIL
IL
Enumeration date
07/14/2006
Last updated
06/16/2015
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