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NPI Code Detail

MEDICARE: OLDE CABIN ANESTHESIA

MEDICARE: OLDE CABIN ANESTHESIA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist
2207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1780228155
Entity Type Code : Organization
Provider Name (Legal Business Name) : OLDE CABIN ANESTHESIA
Provider Business Mailing Address
First Line : PO BOX 5393
Second Line :
City : CAROL STREAM
State : IL
Zip : 60197-5393
Country : US
Telephone Number : 888-337-3509
Fax Number : 941-328-3997
Provider Business Practice Location Address
First Line : 11525 OLDE CABIN RD STE 101
Second Line :
City : CREVE COEUR
State : MO
Zip : 63141-7146
Country : US
Telephone Number : 314-400-9999
Fax Number :
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. LEONARD B WEINSTOCK
Credential : MD
Telephone Number : 314-400-9999
Provider Enumeration Date : 10/29/2019
Last Update Date : 07/01/2020

Similar Medicare Providers

1003310822 — SOUMOJIT GHOSH MD
Practice Location Address:
11525 OLDE CABIN RD
CREVE COEUR, MO
63141-7146
Practice Phone: 314-997-0554
Practice Fax: 314-997-5086
1831180272 — ADVANCED ENDOSCOPY CENTER LLC
Practice Location Address:
11525 OLDE CABIN ROAD , SUITE 101
CREVE COEUR, MO
63141-7146
Practice Phone: 314-400-9999
Practice Fax: 314-400-9990
1447266432 — JANET TODORCZUK MD
Practice Location Address:
11525 OLDE CABIN RD
CREVE COEUR, MO
63141-7146
Practice Phone: 314-997-0554
Practice Fax: 314-997-5086
1467566703 — LEONARD B WEINSTOCK MD
Practice Location Address:
11525 OLDE CABIN RD
CREVE COEUR, MO
63141-7146
Practice Phone: 314-997-0554
Practice Fax: 314-997-5086
1366557209 — MS. AMIE C CHANG P.A.
Practice Location Address:
11525 OLDE CABIN RD
CREVE COEUR, MO
63141-7146
Practice Phone: 314-997-0554
Practice Fax: 314-997-5086
1669523270 — SPECIALIST IN GASTROENTEROLOGY
Practice Location Address:
11525 OLDE CABIN RD
CREVE COEUR, MO
63141-7146
Practice Phone: 314-997-0554
Practice Fax: 314-997-5086

Directions to “OLDE CABIN ANESTHESIA ” Practice Location

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