Organization
PAINLESS ANESTHESIA PROVIDERS S. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GERDA KULKA (BILLING COLLECTION)
(773) 637-1700
Entity
Organization
Contact information
Practice address
2333 N HARLEM AVE, SUITE 500, CHICAGO, IL 60707-2718
(773) 637-1700
(773) 637-2881
Mailing address
2333 N HARLEM AVE, SUITE 500, CHICAGO, IL 60707-2718
(773) 637-1700
(773) 637-2881
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636192
BLUE SHIELD PROVIDER NUMB
IL
Enumeration date
11/13/2006
Last updated
08/22/2020
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