Organization
AMERICAN ANESTHESIOLOGY OF ILLINOIS, LLC
Active
Other names
Crawford Avenue Anesthesia Provider Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD HAYES M.D (PRESIDENT)
(800) 243-3839
Entity
Organization
Contact information
Practice address
8701 BROADWAY, MERRILLVILLE, IN 46410-7035
(800) 243-3839
(844) 636-1410
Mailing address
PO BOX 1278, BEDFORD PARK, IL 60499-1278
(800) 243-3839
(844) 636-1410
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Enumeration date
01/10/2008
Last updated
09/11/2014
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