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General NPI Number Information
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NPI Number | 1932248622
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Entity Type | Organization
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Legal Business Name | WINDY CITY ANESTHESIA PC
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 21120 WASHINGTON PKWY
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City | FRANKFORT
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State | IL
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Zip | 60423-3112
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Country | US
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Telephone | 847-691-9080
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Fax | 224-255-5813
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Provider Business Mailing Address
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Address Line | 21120 WASHINGTON PKWY
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City | FRANKFORT
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State | IL
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Zip | 60423-3112
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Country | US
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Telephone | 815-462-8470
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Fax | 815-462-8471
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL BORVAN
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Credential |
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Telephone | 815-370-1933
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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 |
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License Number State | IL
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Taxonomy #2
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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 | IL
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