Organization
JAY ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN PASKOV MD (PRESIDENT)
(800) 444-6110
Entity
Organization
Contact information
Practice address
2544 W MONTROSE AVE, CHICAGO, IL 60618-1537
(800) 444-6110
Mailing address
PO BOX 70, LAKE FOREST, IL 60045-0070
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/17/2007
Last updated
10/29/2007
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