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Organization

CCAA LLC

Active
Other names
Cook County Anesthesia Associates
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JONATHAN CULP (VICE PRESIDENT)
(513) 509-8478
Entity
Organization

Contact information

Practice address
9843 GROSS POINT RD, SKOKIE, IL 60076-1145
(847) 674-4646
Mailing address
313 ALEXANDER CT, COPLEY, OH 44321-3400

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Enumeration date
10/24/2017
Last updated
10/24/2017
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