Organization
CROSSROADS ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAGHU SHANTAN REDDY MARRI MD (OWNER)
(630) 776-4711
Entity
Organization
Contact information
Practice address
815 PASQUINELLI DR, WESTMONT, IL 60559-1276
(630) 654-2515
Mailing address
1250 S MICHIGAN AVE APT 802, CHICAGO, IL 60605-3268
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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