Individual
DR. NICHOLAS PAUL SURACI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4646 N MORINE DR, DEPARTMENT OF ANESTHESIOLOGY, CHICAGO, IL 60640
(773) 878-8700
Mailing address
4646 N MORINE DR, DEPARTMENT OF ANESTHESIOLOGY, CHICAGO, IL 60640
(773) 878-8700
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036.156359
IL
207L00000X
Anesthesiology Physician
125.075397
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2016
Last updated
07/30/2021
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