Organization
MOBILE OFFICE-BASED ANESTHESIA OF WESTERN NEW YORK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEFAN LUCAS MD (PRESIDENT)
(773) 756-5760
Entity
Organization
Contact information
Practice address
8420 W BRYN MAWR AVE, STE 300, CHICAGO, IL 60631-3479
(773) 756-5760
(773) 714-1229
Mailing address
8420 W BRYN MAWR AVE, STE 300, CHICAGO, IL 60631-3479
(773) 756-5760
(773) 714-1229
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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