Organization
SA ANESTHESIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWARD SCHECHTER (PRESIDENT)
(847) 316-3364
Entity
Organization
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-1000
Mailing address
PO BOX 486, LAKE FOREST, IL 60045-0486
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632312
BCBS
IL
Enumeration date
09/20/2006
Last updated
10/29/2007
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