Beach Anesthesia, Sc
Anesthesiology in Lincolnwood, IL. Organization (NPI-2).
NPI number1760610893
StatusActive
Last updated in NPPESJul 5, 2013
Details
- NPI
- 1760610893
- Entity type
- Organization (NPI-2)
- Legal business name
- Beach Anesthesia, Sc
- Organization subpart
- No
- Enumeration date
- Jun 26, 2009
- Last updated
- Jul 5, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | – | – | Yes |
| 208VP0000X | – | – | ||
| 367500000X | Nurse Anesthetist, Certified Registered | – | – |
Practice location
3725 W Touhy AveLincolnwood, IL 60712-2603
Phone 847-324-7770
Mailing address
2020 N Lincoln Park W#16m
Chicago, IL 60614-4780
Phone 312-451-6465
Authorized official
Doug Howard Holmes
President
3124516465
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