Cowboy Anesthesia Services Pllc

NPI #1225459878 in Lake Bluff, Illinois

Provider Information

NPI Number: 1225459878
Entity Type: Organization
Organization Name: Cowboy Anesthesia Services Pllc
Primary Specialty: Anesthesiology
Enumeration Date: Dec 30, 2013
Last Updated: Dec 30, 2013

Practice Location

Address: 925 SHERWOOD DR
City: Lake Bluff
State: Illinois
ZIP Code: 60044-2203
Phone: (848) 615-2200

Authorized Official

Name: MR. WILLIAM KINGREY, CRNA
Title: PARTNER
Phone: (800) 444-6110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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