Organization
GREATER CHICAGO ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ROSENTHAL MD (OWNER)
(312) 933-4149
Entity
Organization
Contact information
Practice address
2937 W 63RD ST, CHICAGO, IL 60629-2753
(773) 309-0141
Mailing address
PO BOX 486, LAKE FOREST, IL 60045-0486
(847) 457-3800
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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