Individual
KONSTANTIN GARIBASHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1775 W. DEMPSTER ST., DEPT. OF ANESTHESIA, PARK RIDGE, IL 60068-1143
(847) 723-1773
Mailing address
1775 W. DEMPSTER ST., DEPT. OF ANESTHESIA, PARK RIDGE, IL 60068-1143
(847) 723-1773
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036.139835
IL
207L00000X
Anesthesiology Physician
MD-44331
IA
208600000X
Surgery Physician
125063882
IL
Other
Enumeration date
04/12/2013
Last updated
12/23/2021
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