Organization
CHICAGO ANESTHESIA ASSOCIATES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH D CANDIDO MD (PRESIDENT)
(800) 444-6110
Entity
Organization
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
Mailing address
925 SHERWOOD DR, LAKE BLUFF, IL 60044-2203
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/30/2007
Last updated
11/30/2007
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