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Organization

NEW LENOX ANESTHESIA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIGUEL GONZALEZ (CHIEF OPERATING OFFICER)
(708) 499-5678
Entity
Organization

Contact information

Practice address
678 CEDAR CROSSING DR, NEW LENOX, IL 60451
(708) 499-5678
(708) 499-5685
Mailing address
678 CEDAR CROSSING DR, NEW LENOX, IL 60451
(708) 499-5678
(708) 499-5685

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
05/08/2018
Last updated
05/08/2018
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