Organization
CRAWFORD AVENUE ANESTHESIA PROVIDER SERVICES URBANA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD HAYES M.D. (AUTHORIZED OFFICIAL)
(708) 326-1630
Entity
Organization
Contact information
Practice address
1400 W PARK ST, URBANA, IL 61801-2334
(217) 337-2000
Mailing address
PO BOX 1278, BEDFORD PARK, IL 60499-1278
(217) 337-2000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
05/24/2013
Last updated
06/19/2013
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