Registry details
Type
Individual
Primary specialty
Anesthesiology
Enumerated
Jul 29, 2021
License(s)
125.078698 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 836 W WELLINGTON AVE | Chicago, IL 60657-5147 | 773-975-1600 |
| MAILING | 856 W NELSON ST | Chicago, IL 60657-5152 | 872-210-7644 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.