Healthcare Provider Details
I. General information
NPI: 1801336870
Provider Name (Legal Business Name): ARETE ANESTHESIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/24/2017
Last Update Date: 05/16/2023
Certification Date: 05/16/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2750 S RIVER RD
DES PLAINES IL
60018-4103
US
IV. Provider business mailing address
PO BOX 1171
DEERFIELD IL
60015-6002
US
V. Phone/Fax
- Phone: 708-273-3052
- Fax:
- Phone: 847-470-8740
- Fax: 847-948-8103
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HOWARD
S
KONOWITZ
Title or Position: OWNER
Credential: MD
Phone: 847-921-9733