Organization
BEYOND ANESTHESIA MEDICAL
Active
Other names
BA Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARIEL GALLANOSA DO (MEDICAL DIRECTOR)
(929) 274-3536
Entity
Organization
Contact information
Practice address
2500 W BRADLEY PL STE 301, CHICAGO, IL 60618-4720
(929) 274-3536
Mailing address
PO BOX 18298, CHICAGO, IL 60618-0017
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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