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General NPI Number Information
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NPI Number | 1295156602
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Entity Type | Organization
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Legal Business Name | WEST CENTRAL ANESTHESIOLOGY GROUP LTD.
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Dates
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Enumeration Date | 01/02/2014
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 9550 W HIGGINS RD STE 1100
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City | ROSEMONT
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State | IL
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Zip | 60018-4962
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Country | US
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Telephone | 773-756-5760
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Fax |
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Provider Business Mailing Address
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Address Line | 9550 W HIGGINS RD STE 1100
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City | ROSEMONT
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State | IL
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Zip | 60018-4962
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Country | US
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Telephone | 773-756-5760
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JOSHUA GANTZ
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Credential |
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Telephone | 773-756-5760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036-044476
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License Number State | IL
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