Organization
ADVANCED AMBULATORY ANESTHESIA SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY SILVERMAN (PRESIDENT)
(847) 259-3080
Entity
Organization
Contact information
Practice address
1100 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2402
(847) 259-3080
Mailing address
PO BOX 570, LAKE FOREST, IL 60045-0570
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1623528
BCBS PIN
IL
Enumeration date
10/24/2006
Last updated
10/29/2007
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