Organization
NORTHSTAR ANESTHESIA OF ILLINOIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHIL EICHENHOLZ MD (PRESIDENT)
(817) 583-7421
Entity
Organization
Contact information
Practice address
2000 E LAMAR BLVD STE 400, ARLINGTON, TX 76006-7353
(817) 583-7421
Mailing address
PO BOX 612485, DALLAS, TX 75261-2485
(239) 610-0775
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
04/24/2014
Last updated
05/25/2021
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