Organization
MN ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD HARKESS (CFO)
(847) 433-1539
Entity
Organization
Contact information
Practice address
3249 OAK PARK AVE, BERWYN, IL 60402
(708) 783-9100
(708) 783-2452
Mailing address
5983 PAYSPHERE CIR, CHICAGO, IL 60674
(708) 783-2436
(708) 783-2452
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/18/2006
Last updated
05/30/2008
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