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Organization

AESTHETIC ANESTHESIA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KARA G. CLARK CRNA (OWNER)
(847) 269-9086
Entity
Organization

Contact information

Practice address
1912 PALMGREN DR, GLENVIEW, IL 60025-4216
(847) 269-9086
Mailing address
1912 PALMGREN DR, GLENVIEW, IL 60025-4216
(847) 269-9086

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
041274227
IL

Other

Enumeration date
10/17/2007
Last updated
06/23/2008
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