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General NPI Number Information
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NPI Number | 1073558136
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Entity Type | Organization
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Legal Business Name | UNIVERSITY ANESTHESIOLOGISTS SC
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 01/02/2015
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Provider Practice Location Address
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Address Line | 1653 W CONGRESS PKWY 735 JELKE ANESTHESIA DEPT.
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City | CHICAGO
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State | IL
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Zip | 60612-3833
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Country | US
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Telephone | 312-942-6504
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Fax | 312-942-5773
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Provider Business Mailing Address
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Address Line | 1653 W CONGRESS PKWY 735 JELKE ANESTHESIA DEPT.
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City | CHICAGO
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State | IL
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Zip | 60612-3833
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Country | US
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Telephone | 312-942-6504
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Fax | 312-942-5773
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KENNETH TUMAN
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Credential | MD
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Telephone | 312-942-3135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207LC0200X
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Taxonomy Name | Critical Care Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State | IL
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Taxonomy #8
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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