Organization
HARBOR ANESTHESIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOELLE WALLIN-SANCHEZ CRNA (COO)
(574) 253-1827
Entity
Organization
Contact information
Practice address
4226 N KOLMAR AVE, CHICAGO, IL 60641-1900
(574) 253-1827
Mailing address
P.O. BOX 736317, CHICAGO, IL 60637-6317
(574) 253-1827
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
06/06/2024
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