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Organization

RELIABLE ANESTHESIA SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEROME J HANNIGAN MD (PRESIDENT)
(773) 779-8499
Entity
Organization

Contact information

Practice address
10323 S CALIFORNIA AVE, CHICAGO, IL 60655-1610
(773) 779-8499
(773) 429-9972
Mailing address
10323 S CALIFORNIA AVE, CHICAGO, IL 60655-1610
(773) 779-8499
(773) 429-9972

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036088163
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036088163
IL
Enumeration date
08/24/2008
Last updated
08/05/2009
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