Organization
PRINCIPAL ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONI AIZIGOV CRNA (OWNER)
(847) 615-2200
Entity
Organization
Contact information
Practice address
1928 45TH ST, MUNSTER, IN 46321-3917
(219) 476-7246
Mailing address
PO BOX 70, LAKE FOREST, IL 60045-0070
(800) 444-6110
(847) 615-2858
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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