Organization
NORTHWEST ANESTHESIOLOGISTS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANG SOO KIM M.D. (PRESIDENT)
(773) 537-0020
Entity
Organization
Contact information
Practice address
1044 N FRANCISCO AVE, CHICAGO, IL 60622-2743
(773) 292-8200
Mailing address
PO BOX 265, NORTHBROOK, IL 60065-0265
(773) 537-0020
(773) 537-0030
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IL
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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