Organization
AEGIS AMBULATORY ANESTHESIA, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALICIA CITARI CRNA (AUTHORIZED OFFICIAL)
(630) 640-9618
Entity
Organization
Contact information
Practice address
6701 WEST 159TH STREET, TINLEY PARK, IL 60477-1758
(708) 429-0222
Mailing address
5740 WASHINGTON ST, DOWNERS GROVE, IL 60516-1311
(630) 640-9618
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
01/30/2012
Last updated
11/22/2016
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