Organization
UNITED ANESTHESIA ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW WARD MD (PRESIDENT)
(847) 429-2932
Entity
Organization
Contact information
Practice address
934 CENTER ST, ELGIN, IL 60120-2125
(847) 429-2932
(847) 429-2032
Mailing address
5452 RELIABLE PARKWAY, CHICAGO, IL 60686-0001
(847) 429-2932
(847) 429-2032
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4532155
BLUE SHIELD
IL
Enumeration date
08/31/2006
Last updated
10/29/2007
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