Organization
SW ANESTHESIOLOGY LIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDUL R WAHOOD MD (PRESIDENT)
(630) 887-1201
Entity
Organization
Contact information
Practice address
104 CIRCLE RIDGE DR, BURR RIDGE, IL 60527-8379
(630) 632-4435
(773) 767-8133
Mailing address
104 CIRCLE RIDGE DR, BURR RIDGE, IL 60527-8379
(630) 632-4435
(773) 767-8133
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036072981
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072981
—
IL
01
—
1982708582
PERSONAL NPI
IL
Enumeration date
01/29/2010
Last updated
05/05/2011
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