Northside Anesthesia, LLC

NPI #1740599752 in Evanston, Illinois

Provider Information

NPI Number: 1740599752
Entity Type: Organization
Organization Name: Northside Anesthesia, LLC
Primary Specialty: Anesthesiology
Enumeration Date: Sep 26, 2010
Last Updated: May 5, 2016

Practice Location

Address: 9315 RIDGEWAY AVE
City: Evanston
State: Illinois
ZIP Code: 60203-1308
Phone: (773) 383-0776

Authorized Official

Name: MRS. HEATHER FORSTER, CRNA
Title: HEAD CRNA
Phone: (773) 383-0776

Specialties & Taxonomy Codes

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

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