Organization
HINDSDALE ANESTHESIA ASSOC LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG GARDNER MD (AUTHORIZED REPRESENTATIVE)
(630) 856-9000
Entity
Organization
Contact information
Practice address
120 N OAK ST, HINSDALE, IL 60521-3829
(630) 856-9000
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(800) 242-1131
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/03/2006
Last updated
05/18/2009
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