Organization
SOUTHEAST ANESTHESIA CONSULTANTS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD STEPHENSON MD (PRESIDENT)
(773) 333-5990
Entity
Organization
Contact information
Practice address
2320 E 93RD ST, CHICAGO, IL 60617-3983
(773) 967-2000
Mailing address
PO BOX 4096, CAROL STREAM, IL 60197-4096
(847) 615-2200
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
06/17/2006
Last updated
10/29/2007
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