Tippecanoe Anesthesia Services LLC

NPI #1033488283 in Kankakee, Illinois

Provider Information

NPI Number: 1033488283
Entity Type: Organization
Organization Name: Tippecanoe Anesthesia Services LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ILLINOIS INDIANA EM - I MEDICAL SERVICES
Primary Specialty: Anesthesiology
Enumeration Date: Dec 16, 2011
Last Updated: Jul 16, 2014

Practice Location

Address: 350 N WALL ST
City: Kankakee
State: Illinois
ZIP Code: 60901-2901
Phone: (815) 935-7504

Authorized Official

Name: DOUGLAS WEBSTER, DO
Title: PRESIDENT
Phone: (469) 401-2386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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