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Contact Information

AESTHETIC ANESTHESIA, LLC
1912 PALMGREN DR
GLENVIEW, IL60025-4216
 Phone: 847-269-9086
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for AESTHETIC ANESTHESIA, LLC

NPI # 1023207909
LBN Legal business name AESTHETIC ANESTHESIA, LLC
Authorized official KARA CLARK - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/17/2007
Last updated 06/23/2008 - About 18 years ago
Identifiers
IL License # 041274227
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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