Organization
AMSURG OAK LAWN IL ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN A KOCHENDORFER (SR DIRECTOR OF RCM TRANSFORMATION)
(615) 240-3795
Entity
Organization
Contact information
Practice address
9921 SOUTHWEST HWY, OAK LAWN, IL 60453-3754
(708) 425-2552
Mailing address
1A BURTON HILLS BLVD, ATTN: PROVIDER ENROLLMENT, NASHVILLE, TN 37215-6187
(615) 240-3809
(615) 234-1809
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
04/03/2014
Last updated
01/20/2023
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