| NPI | 1366624256 |
|---|---|
| Doing Business As | ADVENTIST BOLINGBROOK ANESTHESIA |
| Entity Type | Organization |
| Authorized Contact | RUBY MANN Director Of Managed Care 630-312-6884 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2017-06-12 |