Organization
PRAIRIE ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILORAD CUPIC (PRESIDENT)
(312) 567-2000
Entity
Organization
Contact information
Practice address
2525 S MICHIGAN AVE, CHICAGO, IL 60616-2333
(312) 567-2000
Mailing address
PO BOX 4602, DEPT 4041, OAK BROOK, IL 60522-4602
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
11/01/2006
Last updated
10/29/2007
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