Midstate Anesthesiologists, Ltd

NPI #1275574998 in Kankakee, Illinois

Provider Information

NPI Number: 1275574998
Entity Type: Organization
Organization Name: Midstate Anesthesiologists, Ltd
Primary Specialty: Anesthesiology
Enumeration Date: Jun 10, 2006
Last Updated: Sep 19, 2007

Practice Location

Address: 500 W COURT ST
City: Kankakee
State: Illinois
ZIP Code: 60901-3661
Phone: (815) 937-2375

Authorized Official

Name: DR. SAMUEL MACAGBA, M.D
Title: AUTHORISED REPRESENTATIVE
Phone: (815) 937-2375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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