Organization
MIDWEST ANESTHESIA GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIM T. LUK DO (AUTHORIZED REPRESENTATIVE)
(312) 375-7846
Entity
Organization
Contact information
Practice address
3 ERIE CT, OAK PARK, IL 60302-2519
(708) 763-6550
Mailing address
2237 W TAYLOR ST, CHICAGO, IL 60612-4283
(312) 375-7846
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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