Lakeside Anesthesiology, Sc

NPI #1306892377 in Rockford, Illinois

Provider Information

NPI Number
1306892377
Entity Type
Organization
Organization Name
Lakeside Anesthesiology, Sc
Primary Specialty
Anesthesiology - Pain Medicine
Enumeration Date
May 25, 2006
Last Updated
Jun 6, 2011

Practice Location

Address
6090 STRATHMOOR DR
ZIP Code
61107-6628
Phone
(815) 633-8586

Authorized Official

Name
DAVID S FOOTERMAN, MD
Title
PRESIDENT
Phone
(815) 633-8586

Specialties & Taxonomy Codes

Specialty
Anesthesiology
Anesthesiology - Pain MedicinePain Medicine

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