Organization
LAKEVIEW ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED SALEM MD (PRESIDENT)
(773) 975-1600
Entity
Organization
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
Mailing address
PO BOX 70, LAKE FOREST, IL 60045-0070
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Enumeration date
08/31/2006
Last updated
10/29/2007
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