Organization
JW ANESTHESIA SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN GWIN (BILLING)
(708) 669-9313
Entity
Organization
Contact information
Practice address
1811 SAINT JOHNS AVE, HIGHLAND PARK, IL 60035-5607
(708) 669-9313
(708) 377-9354
Mailing address
1811 SAINT JOHNS AVE, HIGHLAND PARK, IL 60035-5607
(708) 669-9313
(708) 377-9354
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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