Organization
ENCORE ANESTHESIA GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMIR H NAVIK MD (AUHTORIZED REPRESENTATIVE)
(217) 553-8966
Entity
Organization
Contact information
Practice address
3 ERIE CT, OAK PARK, IL 60302-2519
(708) 383-6200
Mailing address
PO BOX 809083, CHICAGO, IL 60680-9083
(800) 516-5315
(517) 787-7365
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/23/2020
Last updated
06/26/2020
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