Prairie Anesthesia LLC

NPI #1225115934 in Chicago, Illinois

Provider Information

NPI Number: 1225115934
Entity Type: Organization
Organization Name: Prairie Anesthesia LLC
Primary Specialty: Anesthesiology
Enumeration Date: Nov 1, 2006
Last Updated: Oct 29, 2007

Practice Location

Address: 2525 S MICHIGAN AVE
City: Chicago
State: Illinois
ZIP Code: 60616-2333
Phone: (312) 567-2000

Authorized Official

Name: MILORAD CUPIC
Title: PRESIDENT
Phone: (312) 567-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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