Organization
OP ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD HARKESS (CFO)
(847) 433-1539
Entity
Organization
Contact information
Practice address
16450 104TH AVE, ORLAND PARK, IL 60467-5441
(708) 364-8441
(708) 364-8443
Mailing address
PO BOX 486, LAKE FOREST, IL 60045-0486
(847) 615-2200
(847) 615-2858
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
05/03/2010
Last updated
05/03/2010
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