| NPI | 1528098357 |
|---|---|
| Doing Business As | PREMIER ANESTHESIA OF ILLINOIS |
| Entity Type | Organization |
| Authorized Contact | KERRY TEEL President 770-643-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 367H00000X Anesthesiologist Assistant | |
| 204E00000X Oral & Maxillofacial Surgery | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2013-09-25 |