Organization
PALOS ANESTHESIA ASSOCIATES, S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J SOBCZAK M.D. (PRESIDENT)
(708) 923-5700
Entity
Organization
Contact information
Practice address
12251 S 80TH AVE, PALOS COMMUNITY HOSPITAL, PALOS HEIGHTS, IL 60463-1256
(708) 923-5700
(708) 923-8848
Mailing address
PO BOX 239D, PARK RIDGE, IL 60068-8018
(847) 759-1560
(847) 803-1006
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01617209
BS GROUP #
IL
01
—
CN0735
RR MEDICARE GROUP#
IL
Enumeration date
02/15/2006
Last updated
08/22/2020
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