Organization
APAC ANESTHESIA SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FAISAL M. RAHMAN PH.D. (CEO)
(219) 488-0176
Entity
Organization
Contact information
Practice address
5645 W ADDISON ST, CHICAGO, IL 60634-4403
(773) 794-8494
(773) 794-8484
Mailing address
11456 BROADWAY, CROWN POINT, IN 46307-7106
(219) 488-0176
(219) 661-1408
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635667
BCBSIL
IL
Enumeration date
06/25/2006
Last updated
08/22/2020
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