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1134566615
CRAWFORD AVENUE ANESTHESIA PROVIDER SERVICES URBANA, LLC
URBANA, IL
NPI
1134566615
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Entity Type
Organization
Authorized Contact
RONALD HAYES
Authorized Official
708-326-1630
Organization Subpart ?
No
Primary Taxonomy
207L00000X Anesthesiology
Enumeration Date
2013-05-24
Last Update Date
2013-06-19
Business Address
CRAWFORD AVENUE ANESTHESIA PROVIDER SERVICES URBANA, LLC
1400 W PARK ST
URBANA, IL 61801-2334
Phone number: 217-337-2000
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Mailing Address
CRAWFORD AVENUE ANESTHESIA PROVIDER SERVICES URBANA, LLC
PO BOX 1278
BEDFORD PARK, IL 60499-1278
Phone number: 217-337-2000
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