Resolute Anesthesia Illinois Sc

NPI #1245661560 in Waterloo, Illinois

Provider Information

NPI Number: 1245661560
Entity Type: Organization
Organization Name: Resolute Anesthesia Illinois Sc
Primary Specialty: Anesthesiology
Enumeration Date: Dec 12, 2013
Last Updated: May 5, 2023

Practice Location

Address: 501 HAMACHER ST
City: Waterloo
State: Illinois
ZIP Code: 62298-1568
Phone: (908) 653-9399

Authorized Official

Name: KAREN VAUGHN
Title: OFFICER
Phone: (954) 838-2371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Anesthetist, Certified Registered	367500000X
Anesthesiology	207L00000X	Primary

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