Aegis Ambulatory Anesthesia, Ltd
NPI #1104198647 in Tinley Park, Illinois
Provider Information
- NPI Number
- 1104198647
- Entity Type
- Organization
- Organization Name
- Aegis Ambulatory Anesthesia, Ltd
- Primary Specialty
- Anesthesiology
- Enumeration Date
- Jan 30, 2012
- Last Updated
- Nov 22, 2016
Practice Location
- Address
- 6701 WEST 159TH STREET
- City
- Tinley Park
- State
- Illinois
- ZIP Code
- 60477-1758
- Phone
- (708) 429-0222
Authorized Official
- Name
- MS. ALICIA CITARI, CRNA
- Title
- AUTHORIZED OFFICIAL
- Phone
- (630) 640-9618
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
| Anesthesiologist Assistant |
| Anesthesiology |
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