Organization
PHYSICIAN ANESTHESIA ASSOCIATES, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL TERNA MD (PRESIDENT)
(847) 437-5500
Entity
Organization
Contact information
Practice address
800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL 60007-3311
(847) 615-2200
(847) 615-2858
Mailing address
DEPARTMENT 4330, CAROL STREAM, IL 60122-4330
(847) 615-2200
(847) 615-2858
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0161919966
BLUE SHIELD GROUP NUMBER
IL
01
—
131983700
DEPT OF LABOR
IL
01
—
CL9313
RAILROAD MEDICARE GROUP
IL
Enumeration date
10/31/2006
Last updated
03/12/2013
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